Detalhes bibliográficos
| Resumo: | Hemophilia A, characterized by deficiency of functional plasma clotting factor VIII, is an X-linked disorder. Signs and symptoms depend on factor VIII levels. Severe hemophilia A (factor levels less than 1%) is usually diagnosed in the first two years of life. Pediatric compartment syndrome is most associated with trauma, but infectious and vascular causes must also be considered. We report a case of a newborn who presented with a severe hand hematoma after venous puncture, complicated by compartment syndrome. An isolated prolonged partial thromboplastin time was found, and hemophilia was suspected. Factor VIII levels less than 1% were consistent with severe hemophilia A. The patient received recombinant factor VIII perioperatively. Fasciotomy was performed and the patient was kept on antibiotics until closure. |
| Autores principais: | Sacras, ML |
| Outros Autores: | Ladeira, C; Carmo, S; Kjöllerström, P |
| Assunto: | Acute Disease Compartment Syndromes/ diagnosis Compartment Syndromes/etiology Compartment Syndromes/therapy Fasciotomy; Hemophilia A/complications Hemophilia A/diagnosis Infant, Newborn Case Report HDE CIR PED HDE HEM PED |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Centro Hospitalar de Lisboa Central, EPE (CHLC) |
| Idioma: | inglês |
| Origem: | Repositório do Centro Hospitalar de Lisboa Central, EPE |