Characteristics of Leukemia Pediatric Patients with Oral Manifestations at Abdoel Wahab Sjahranie Hospital Samarinda

Authors

  • Nydia Hanan Mulawarman University
  • Annisa Muhyi Laboratory of Child Health Sciences, Mulawarman University, Samarinda Indonesia
  • Muhammad Buchori Laboratory of Child Health Sciences, Mulawarman University, Samarinda Indonesia
  • Amalia Aswin Laboratory of Child Health Sciences, Mulawarman University, Samarinda Indonesia
  • Aulya Rahma Fadilah Dentistry Education Study Program, Mulawarman University, Indonesia
  • Ranya Olivia Dentistry Education Study Program, Mulawarman University, Indonesia

DOI:

https://doi.org/10.30649/denta.v18i2.2

Keywords:

Leukemia, Oral Manifestations, Mucositis

Abstract

Background: Leukemia is a common malignancy in children and occurs when changes in normal cell regulatory processes lead to proliferation of hematopoietic stem cells. Leukemic patients have a higher susceptibility to dental and oral diseases such as mucositis and xerostomia due to damage by chemotherapeutic agents to oral mucosal cells which have a high mitotic index. Objective: To determine the characteristics of leukemia in children with oral manifestations at the Abdoel Wahab Sjahranie Hospital Samarinda which is the main referral hospital in the province of East Kalimantan. Materials and Methods: This research is descriptive with cross-sectional method using medical record data as the subject based on the specified criteria. Data were grouped by type of leukemia, age, gender, nutritional status and oral manifestations. Results: A total of 1,330 cases of Leukemia in 2017-2021 with 12 suitable respondents. There were cases with male gender (58.3%) and 0-5 years of age which were comparable to those of 6-18 years (50%). The type of acute lymphoblastic leukemia was the most common in this study with a frequency of 83.3%. Mucositis (58.3%) was the most common manifestation of people with normal nutritional status (41.7%) and laboratory results stated the average of leukocytes was 45,700/uL, hemoglobin was 10.4 g/dl, and platelets was 117,600/mm3. A total of 66.6% of respondents had received chemotherapy. Conclusion: Oral manifestations can occur due to leukemia or side effects of chemotherapy, the importance of multidisciplinary and comprehensive treatment between pediatricians and pediatric dentists in managing the dental health of leukemia patients.

 

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References

Davis AS, Viera AJ, Mead MD. Leukemia: an overview for primary care. American family physician. 2014; 89(9): 731-8.

Sativa, S. O. Pengaruh Genetik, Gaya Hidup dan Lingkungan Pada Kejadian Leukemia Mieloblastik Akut. Jurnal ilmiah mahasiswa kedokteran indonesia. 2020; 8(1): 83–88.

Chapla, U. Leukemia - Brief Review on Recent Advancements in Therapy and Management. Asian journal of research in pharmaceutical sciences and biotechnology. 2015: 3(1): 20-26.

Deliverska EG, Krasteva A. Oral signs of leukemia and dental management–literature data and case report. J of IMAB. 2013; 19(4): 388-91.

Gore JM. Acute leukemias. JAAPA. 2014; 27(5): 47-8. https://doi.org/10.1097/01.JAA.0000446221.55059.4.

Capodiferro S, Limongelli L, Favia G. Oral and maxillo-facial manifestations of systemic diseases: an overview. Medicina. 2021; 57(3): 271.

Valéra MC, Noirrit‐Esclassan E, Pasquet M, Vaysse F. Oral complications and dental care in children with acute lymphoblastic leukaemia. Journal of Oral Pathology & Medicine. 2015; 44(7): 483-9.

Cammarata-Scalisi F, Girardi K, Strocchio L, Merli P, Bernardin AG, Galeotti A, Magliarditi F, Inserra A, Callea M. Oral manifestations and complications in childhood acute myeloid leukemia. Cancers. 2020; 12(6): 1634.

Yan Y, Zhan Y, Wang XE, Hou J. Clinical evaluation of ultrasonic subgingival debridement versus ultrasonic subgingival scaling combined with manual root planing in the treatment of periodontitis: study protocol for a randomized controlled trial. Trials. 2020; 21(1): 1-7.

Soares SC, Roux LJ, Castro AR, Silva CC, Rodrigues R, Macho VM, Silva F, Costa C. Oral manifestations: A warning-sign in children with hematological disease acute lymphocytic leukemia. Hematology Reports. 2023; 15(3): 491-502.

Mathur VP, Dhillon JK. Dental caries: a disease which needs attention. The Indian Journal of Pediatrics. 2018; 85: 202-6.

de Oliveira MC, Borges TS, Miguens SA, Gassen HT, Fontanella VC. Oral manifestations in pediatric patients receiving chemotherapy for leukemia. Stomatos. 2016; 22(43): 20-30.

Devi KS, Allenidekania A. The relationship of oral care practice at home with mucositis incidence in children with acute lymphoblastic leukemia. Comprehensive child and adolescent nursing. 2019; 42(sup1): 56-64.

Mathur, V., Dhillon, J., & Kalra, G. (2021, Jan-Apr). Oral Health in Children with Leukemia. Indian J Palliat Care. 2021; 18(1): 12-18.

Antonini MF, de Oliveira Lemes LT, Mozzini CB. Oral Manifestations of Leukemia at the Time of Diagnosis. Revista Brasileira de Cancerologia. 2018; 64(2): 223-30.

Arora PC, Arora A, Arora S. Oral manifestations as an early clinical sign of acute myeloid leukemia: a report of two cases. Indian Journal of Dermatology. 2020; 65(3): 241.

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Published

2024-08-31

How to Cite

Nydia Hanan, Annisa Muhyi, Muhammad Buchori, Amalia Aswin, Aulya Rahma Fadilah, & Ranya Olivia. (2024). Characteristics of Leukemia Pediatric Patients with Oral Manifestations at Abdoel Wahab Sjahranie Hospital Samarinda. DENTA JURNAL KEDOKTERAN GIGI, 18(2), 63–69. https://doi.org/10.30649/denta.v18i2.2

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