Angina bullosa haemorrhagica: a systematic review and proposal for diagnostic criteria

U Ordioni1, M Hadj Saïd2, G Thiery3

  • 1Department of Oral Surgery and Odontology, APHM, Timone Hospital, Marseille, France; Centre Massilien de la Face, Marseille, France.

Insights

Angina bullosa haemorrhagica (ABH) is poorly understood, with limited evidence. This review proposes diagnostic criteria to improve patient care for this condition.

Area of Science:

  • Oral Medicine
  • Dermatology
  • Pathology

Background:

  • Angina bullosa haemorrhagica (ABH) is a rare oral condition characterized by spontaneous blistering and hemorrhage.
  • Limited high-quality evidence exists regarding its epidemiological and etiological characteristics.

Purpose of the Study:

  • To critically review and synthesize existing literature on the epidemiological, etiological, clinical, histological, biological, and therapeutic aspects of ABH.
  • To propose diagnostic criteria for ABH based on a systematic literature review.

Main Methods:

  • Systematic literature search of PubMed, Science Direct, Web of Science, and Cochrane Library databases.
  • Eligibility assessment according to PRISMA statement.
  • Inclusion of 40 articles (1985-2016) describing 225 ABH cases.

Main Results:

  • Mean patient age was 55.4 years, with a female predominance (M:F ratio 0.7).
  • Palate was the most common site (66%); 82% had a triggering factor.
  • Symptomatic treatment yielded favorable outcomes, but recurrences were frequent (62%).

Conclusions:

  • ABH is characterized by a lack of robust scientific documentation and low-level evidence studies.
  • No clear aetiopathogenic associations with general pathologies or treatments were identified.
  • Proposed diagnostic criteria aim to enhance the management of ABH patients.

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