Diabetes mellitus

  Angina bullosa haemorrhagica is a rare blood filled vesiculobullous lesion of the oropharynx with the most common site being reported is the soft palate. Many etiological factors have been reported including trauma, hypertension, hyperglycemia and even iatrogenic causes. Management is based on the dimension of the lesion. Usually smaller lesions are self limiting, but larger lesions require surgical intervention. We report a case of rapidly expanding blood-filled bulla of the soft palate of size 2x4.5 mm with successful management by steroids. It was associated with tightness as prodromal symptom in the area followed by the bullae. The etiology, clinical features, differential diagnosis and management of the lesion is discussed.