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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Purple Spots On Gums Suggest?

I just found a purple-ish spot on my gums on the bottom row of my teeth in the front. The biggest spot is off to the left side at the top of the gum between two teeth and the other is between the two front lower teeth. They aren t big spots but I haven t noticed them until today. I am pretty good at brushing my teeth everyday but sometimes I miss a day. I am scared that it is something bad.
Mon, 20 Oct 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Purple spots on gums suggest petechial hemorrhages on the gums.
Petechial hemorrhages on the gums are due to disorders of platelets like reduced platelets or dysfunction of platelets.
Trauma to the gums can precipitate the formation of petechiae.
I suggest you to get a complete blood counts to assess the platelet number and platelet parameters.
If platelet number and other parameters are within normal limits, disorders of coagulation factors can be the cause.
I suggest you to consult your dentist for clinical assessment and prescription of investigations.
If platelet disorder is detected, you need to consult a hematologist.

Thanks and take care
Dr Shailja P Wahal

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What Could Purple Spots On Gums Suggest?

Hello and welcome to HCM, Purple spots on gums suggest petechial hemorrhages on the gums. Petechial hemorrhages on the gums are due to disorders of platelets like reduced platelets or dysfunction of platelets. Trauma to the gums can precipitate the formation of petechiae. I suggest you to get a complete blood counts to assess the platelet number and platelet parameters. If platelet number and other parameters are within normal limits, disorders of coagulation factors can be the cause. I suggest you to consult your dentist for clinical assessment and prescription of investigations. If platelet disorder is detected, you need to consult a hematologist. Thanks and take care Dr Shailja P Wahal