Case report
Giant Angina Bullosa Haemorrhagica Associated with Severe Anaemia: A Case Report
Correspondence Address :
Dr. Abirami Thangaraj,
3/372, West Street, Kodukkur Kudikadu, Kodukkur Post, Andimadam Taluk, Ariyalur-621719, Tamil Nadu, India.
E-mail: abits02@gmail.com
Angina Bullosa Haemorrhagica (ABH) is a rare oral disorder characterised by blood-filled bullous lesions in the oral cavity and oropharynx. In 1933, Balina of Argentina first characterised this condition as traumatic oral haemophlyctenosis. Subsequently, Badham introduced the term ABH to describe the disorder. The condition is also referred to by alternative names, including localised oral purpura and stomatopompholyx haemorrhagica. The lesions appear acutely and are primarily distributed over the tongue and oral mucosa without any systemic involvement. They are frequently isolated and rupture quickly, leaving an ulcerated area. The clinical appearance of this lesion can be alarming for patients and poses a diagnostic challenge for clinicians, as it may closely resemble more serious conditions such as haematological disorders and other vesiculobullous diseases. Here, we present a 72-year-old female diagnosed with ABH, notable for the unusually large size of the lesion and its rare association with severe anaemia.
Blister on tongue, Haemorrhagic blister, Severe anaemia, Spontaneous resolution, Sudden onset
DOI: 10.7860/JCDR/2025/79267.21917
Date of Submission: Mar 10, 2025
Date of Peer Review: Jun 20, 2025
Date of Acceptance: Jul 25, 2025
Date of Publishing: Oct 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 22, 2025
• Manual Googling: Jul 21, 2025
• iThenticate Software: Jul 23, 2025 (11%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com
