The presence of periodontal bacteria DNA in coronary atheromatous plaques and sub-gingival plaque samples of the same patients was confirmed by this study. CONCLUSION A correlation was established between putative bacteria contributing to atheromatous plaques and species associated with periodontal disease. One particularly important study to be carried out is the investigation of a possible clinically meaningful reduction in coronary heart disease resulting from the prevention or treatment of periodontal disease.
BackgroundAcute myeloblastic leukaemia is a malignant bone marrow neoplasm of myeloid
precursors of white blood cells. Due to its high morbidity rate, early
diagnosis and appropriate medical therapy is essential.MethodsThe article highlights normal blood alterations like anaemia,
thrombocytopenia, leukocytosis and advanced diagnostic aids like flow
cytometry, special staining as a diagnostic modality as well as for
prognostic information in acute leukaemia, particularly as a tool for
assigning lineage and facilitating further pathologic classification which
may be helpful in influencing treatment strategies.ResultsOn clinical examination the case presented with features of inflammatory
gingival enlargement with presence of local deposits and calculus. Routine
blood examination anaemia, thrombocytopenia, leukocytosis with haemoglobin
5.6 gm% and total leukocyte count of 1,12,000 / cu mm suggestive of
leukaemia. Myeloperoxidase and leukocyte nonspecific esterase (NSE) special
stain were used which showed presence of myeloblasts in the peripheral smear
suggestive of acute myelocytic leukaemia. Flow cytometry were done which
further helped in interpretation of these cells which showed to be strongly
positive for CD45, CD13, CD14, and anti HLADR and moderately positive for
CD4, CD34 and Anti MPO confirming to be case of AML-M4 with 57.73%
gating.ConclusionsFact that gingival alterations are sometimes the first manifestations of the
disease implies that dental professionals must be sufficiently familiarized
with the clinical manifestations of systemic diseases. The timely referral
by the general dentist for a suspicious lesion provided an early diagnosis
and early intervention reducing the patient morbidity.
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