SPONTANEOUS DORSUM LINGUAL BLEEDING: WHICH CAUSE?

The patient GMFA, 52 years old and African-white, sought an oral diagnostic service because of a spontaneous bleeding complaint in the region of the tongue. She reported that episodes of profuse bleeding used to happen after feeding or brushing. The clinical examination revealed the presence of a reddish traumatized papule of approximately 1 mm at the dorsum lingual surface. A topical corticosteroid was prescribed, inducing an interruption of the bleeding episodes, and a reduction of the lesion was observed in the following appointments. Approximately 1 year later, the patient returned with the same initial complaint. When asked about being hypertensive, she confirmed and said that her blood pressure was uncontrolled. A sclerosing treatment was initiated with evident clinical improvement, and she was referred to the cardiologist for hypertension control. The patient is currently under clinical control, and no further bleeding is reported, proving that the bleeding came from her hypertensive crisis.