Angina Bullous Hemorrhagica

Diagnosis: Angina Bullous Hemorrhagica

Angina Bullous Hemorrhagica

Clinical Presentation

Angina Bullous Hemorrhagica

Clinical History

Submitted by Ellie Goulding MD. Originally posted January 23, 2017.

Treatment

See case discussion.

Differential Diagnosis

• Bullous pemphigoid (oral) • Pemphigus vulgaris • Blood blister (traumatic) • Thrombocytopenia • Oral melanoma • Kaposi sarcoma (oral) • Fixed drug eruption (oral)

Key Learnings

• Benign, self-limiting condition — sudden onset of blood-filled blisters in oral cavity • Most commonly on soft palate, but can occur anywhere in oral mucosa • NOT associated with blood dyscrasias, vesiculobullous diseases, or systemic disease • Blister ruptures spontaneously → painless erosion that heals in days • No treatment needed — diagnosis of exclusion • Can be alarming to patients but entirely benign • More common in elderly patients, may be associated with steroid inhaler use

Tags: angina, bullous, hemorrhagica, ellie goulding md