{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:12:44Z","timestamp":1778501564009,"version":"3.51.4"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>A 3-year-old boy referred for persistent tongue bleeding was diagnosed with a rare self-mutilating disease that had also affected his lip and fingers. He underwent multiple odontectomy and partial glossectomy and continues to undergo behavior therapy and on-demand splints and restraints. He has stopped self-biting and has gained appetite and weight. Lesch-Nyhan Syndrome can cause significant morbidity including self-inflicted oral hemorrhage and emergent measures are not easily decided. The long-term management of its neurobehavioral symptoms is problematic and multidisciplinary, and health providers remain challenged to find the best treatment, prolong lifespan and improve quality of life within their respective contexts.doi: https:\/\/doi.org\/10.12669\/pjms.326.12088How to cite this:Uy JL, Lapena JF. Oral Hemorrhage in a 3-year-old Boy Caused by Self-Mutilating Behavior. Pak J Med Sci. 2016;32(6):1583-1585.<\/jats:p>","DOI":"10.12669\/pjms.326.12088","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T11:49:58Z","timestamp":1778500198000},"source":"Crossref","is-referenced-by-count":0,"title":["Oral Hemorrhage in a 3-year-old Boy Caused by Self-Mutilating Behavior"],"prefix":"10.12669","volume":"32","author":[{"given":"Jenny Lyn Young","family":"Uy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Florencio Fabella","family":"Lape\u00f1a","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4935","published-online":{"date-parts":[[2016,12,15]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/18774\/8591","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/18774\/8591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T11:49:58Z","timestamp":1778500198000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/18774"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,15]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2016,11,15]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.326.12088","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2016,12,15]]}}}