Hemophilia in a newborn without family history: A case report

Haemophilia is the most frequent diagnosed inborn clotting factor deficiency in newborn. Studies reveal that majority of hemophilia A cases are due to an inversion of the long arm of X-chromosome. Newborns with hemophilia are at risk of intracranial and extracranial hemorrhage, and other bleeding c...

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Main Author: Shahana Akter
Format: Article
Language:English
Published: Bangabandhu Sheikh Mujib Medical University 2023-04-01
Series:Bangabandhu Sheikh Mujib Medical University Journal
Subjects:
Online Access:https://banglajol.info/index.php/BSMMUJ/article/view/65670
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author Shahana Akter
author_facet Shahana Akter
author_sort Shahana Akter
collection DOAJ
description Haemophilia is the most frequent diagnosed inborn clotting factor deficiency in newborn. Studies reveal that majority of hemophilia A cases are due to an inversion of the long arm of X-chromosome. Newborns with hemophilia are at risk of intracranial and extracranial hemorrhage, and other bleeding complications. Diagnostic criteria for haemophilia include confirmation of a factor activity level below 40% of normal (below 0.40 IU/mL), or a hemophilia gene mutation. Haemophilia typically result in an isolated prolongation of the activated partial thromboplastin time. However, the definitive diagnosis requires measurement of factors VIII and IX levels. Here, we describe a newborn with cephalhematoma gastrointestinal bleeding that is the manifestation of neonatal haemophilia with antenatally diagnosed duodenal atresia and there is no positive family history. This case shows a rare hemophilia presentation reflecting the importance of coagulation studies when faced with unexplained bleeding. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(1): 62-65  
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spelling doaj.art-c92ba900d1bd4cb7a12151d8e0d5f3ed2023-04-18T10:01:00ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502023-04-01161Hemophilia in a newborn without family history: A case reportShahana Akter0Department of Neonatology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh Haemophilia is the most frequent diagnosed inborn clotting factor deficiency in newborn. Studies reveal that majority of hemophilia A cases are due to an inversion of the long arm of X-chromosome. Newborns with hemophilia are at risk of intracranial and extracranial hemorrhage, and other bleeding complications. Diagnostic criteria for haemophilia include confirmation of a factor activity level below 40% of normal (below 0.40 IU/mL), or a hemophilia gene mutation. Haemophilia typically result in an isolated prolongation of the activated partial thromboplastin time. However, the definitive diagnosis requires measurement of factors VIII and IX levels. Here, we describe a newborn with cephalhematoma gastrointestinal bleeding that is the manifestation of neonatal haemophilia with antenatally diagnosed duodenal atresia and there is no positive family history. This case shows a rare hemophilia presentation reflecting the importance of coagulation studies when faced with unexplained bleeding. Bangabandhu Sheikh Mujib Medical University Journal 2023;16(1): 62-65   https://banglajol.info/index.php/BSMMUJ/article/view/65670haemophilia, cephalhematoma, gastrointestinal bleeding, dudenal atresia
spellingShingle Shahana Akter
Hemophilia in a newborn without family history: A case report
Bangabandhu Sheikh Mujib Medical University Journal
haemophilia, cephalhematoma, gastrointestinal bleeding, dudenal atresia
title Hemophilia in a newborn without family history: A case report
title_full Hemophilia in a newborn without family history: A case report
title_fullStr Hemophilia in a newborn without family history: A case report
title_full_unstemmed Hemophilia in a newborn without family history: A case report
title_short Hemophilia in a newborn without family history: A case report
title_sort hemophilia in a newborn without family history a case report
topic haemophilia, cephalhematoma, gastrointestinal bleeding, dudenal atresia
url https://banglajol.info/index.php/BSMMUJ/article/view/65670
work_keys_str_mv AT shahanaakter hemophiliainanewbornwithoutfamilyhistoryacasereport