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Neonatal Hemophilia: A Rare Presentation

dc.contributor.authorFerreira, N.
dc.contributor.authorProença, E.
dc.contributor.authorGodinho, C.
dc.contributor.authorOliveira, D.
dc.contributor.authorGuedes, A.
dc.contributor.authorMorais, S.
dc.contributor.authorCarvalho, C.
dc.date.accessioned2016-05-02T11:56:42Z
dc.date.available2016-05-02T11:56:42Z
dc.date.issued2015-12
dc.description.abstractHemophilia A is a X-linked hereditary condition that lead to decreased factor VIII activity, occurs mainly in males. Decreased factor VIII activity leads to increased risk of bleeding events. During neonatal period, diagnosis is made after post-partum bleeding complication or unexpected bleeding after medical procedures. Subgaleal hemorrhage during neonatal period is a rare, severe extracranial bleeding with high mortality and usually related to traumatic labor or coagulation disorders. Subgaleal hemorrhage complications result from massive bleeding. We present a neonate with unremarkable family history and uneventful pregnancy with a vaginal delivery with no instrumentation, presenting with severe subgaleal bleeding at 52 hours of life. Aggressive support measures were implemented and bleeding managed. The unexpected bleeding lead to a coagulation study and the diagnosis of severe hemophilia A. There were no known sequelae. This case shows a rare hemophilia presentation reflecting the importance of coagulation studies when faced with unexplained severe bleeding.pt_PT
dc.identifier.citationPediatr Rep. 2015 Dec;7(4):6338pt_PT
dc.identifier.doi10.4081/pr.2015.6338pt_PT
dc.identifier.issn2036-7503
dc.identifier.urihttp://hdl.handle.net/10400.16/1937
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPAGEPresspt_PT
dc.subjectHemophilia Apt_PT
dc.subjectextracranial bleedingpt_PT
dc.subjectneonatept_PT
dc.subjectsubgaleal hemorrhagept_PT
dc.titleNeonatal Hemophilia: A Rare Presentationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceItalypt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage6338pt_PT
oaire.citation.titlePediatric reportspt_PT
oaire.citation.volume7pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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