Cubero RMÁ, Núñez GA, Morales ME, Cruz MN, González GNE

Language: Spanish
References: 15
Page: 238-245
PDF size: 213.67 Kb.

ABSTRACT

Introduction: bleeding hepatic subcapsular hematome is increasingly less frequent in the newborn as a result of better prenatal care and the careful follow-up of the labor. Hemophilia is an X chromosome-linked hereditary hemorrhagic disease in which there are altered gens that code for the coagulation factors, factor VIII (hemophilia A) or factor IX (hemophilia B), resulting in a quantitative, a qualitative protein or both. It is rarely seen at the neonatal phase and when it appears, it takes the severe clinical forms. The diagnosis of hemophilia is based on the family history and the clinical manifestations and is confirmed with factor dosing; a key situation that offers the opportunity for the primary level physician to set a timely efficient diagnosis.
Case presentation: clinical and ultrasonographic picture of a six days old neonate with signs of extreme pallor and peritoneal syndrome and family history of hemophilia with no prenatal diagnosis.
Conclusions: the early diagnosis of the bleeding hepatic subcapsular hematoma, as a complication of hemophilia, allows starting the adequate medical treatment for the two problems, thus generating a positive impact on the patient´s and the family´s health and reducing the mortality risks.

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