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Paediatric cases remain exceptionally uncommon. This report describes a 5-year-old Saudi Arabian boy who presented with multiple painless haemorrhagic oral bullae after ingesting natural salt crystals during a visit to a salt lake in Al-Qassim, Saudi Arabia. Clinical examination revealed 18 haemorrhagic bullae involving the buccal mucosa, labial mucosa, and tongue, without systemic symptoms or signs of trauma. Laboratory investigations were unremarkable, and a probable clinical diagnosis of angina bullosa haemorrhagica temporally associated with salt ingestion was established. The lesions ruptured spontaneously within 24\u2009h and healed completely without scarring within 7\u2009days. A literature review identified 40 reported cases from 26 studies, with idiopathic causes and local traumatic or dietary factors being the most commonly associated findings. This report highlights the importance of recognising angina bullosa haemorrhagica in children and considering possible environmental or dietary contributing factors while avoiding unnecessary investigations and interventions.<\/jats:p>","DOI":"10.1177\/2050313x261467133","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T06:00:03Z","timestamp":1784527203000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Salt-associated angina bullosa haemorrhagica in a child: A case report with literature review"],"prefix":"10.1177","volume":"14","author":[{"given":"Khlood A.","family":"Alkurdi","sequence":"first","affiliation":[{"name":"Dental Center, King Saud Hospital, Qassim Health Cluster, Ministry of Health, Unaizah, Kingdom of Saudi Arabia"},{"name":"Institute of Dentistry, Queen Mary University of London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jihad A.","family":"Alokaily","sequence":"additional","affiliation":[{"name":"Dental Center, King Saud Hospital, Qassim Health Cluster, Ministry of Health, Unaizah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara D.","family":"Alzanbaqi","sequence":"additional","affiliation":[{"name":"Dental Center, King Saud Hospital, Qassim Health Cluster, Ministry of Health, Unaizah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan H.","family":"Alamer","sequence":"additional","affiliation":[{"name":"Dental Center, King Saud Hospital, Qassim Health Cluster, Ministry of Health, Unaizah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawaher M.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Dental Center, King Saud Hospital, Qassim Health Cluster, Ministry of Health, Unaizah, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5200-6362","authenticated-orcid":false,"given":"Abdullah F.","family":"Alshammari","sequence":"additional","affiliation":[{"name":"Department of Basic Dental and Medical Science, College of Dentistry, University of Ha\u2019il, Kingdom of Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,19]]},"reference":[{"issue":"6","key":"e_1_3_3_2_2","article-title":"Heat-induced haemorrhagic bullous angina","volume":"17","author":"Quintero EA","year":"2024","unstructured":"Quintero EA, Chaparro JP, Capacho AD, et al. 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