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Inherited bleeding disorders in dermatologic surgery
1Department of Dermatology, University of Texas Health Science Center at Houston, 77030, USA. sraypeterson@hotmail.com
Background:
A patient referred for Mohs micrographic surgery of a basal cell carcinoma had a history of a congenital clotting factor IX deficiency requiring recombinant factor IX replacement.
Objective:
To examine the management and problems associated with cutaneous surgery in patients with inherited clotting factor deficiencies.
Methods:
Case report and review of the medical literature.
Results:
Reconstructive options must be carefully chosen to minimize bleeding in patients with clotting factor deficiencies. Preoperative consultation with a hematologist and coagulation factor replacement both before and after cutaneous surgery prevent excessive hemorrhage.
Conclusion:
Meticulous attention to hemostasis, careful preoperative assessment, and postoperative follow-up minimize complications in patients with known coagulation deficiencies who require cutaneous surgery.