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Occult hemophilia: prolonged bleeding follows extraction.
1Departments of Internal Medicine and Pathology, University of Virginia, Charlottesville 22908.
Journal of the American Dental Association (1939)
|April 11, 1992
Summary
A 51-year-old man experienced recurrent bleeding after dental surgery, leading to the diagnosis of undiagnosed Hemophilia B. This highlights the need to investigate unexpected bleeding, even without a prior history, to identify underlying bleeding disorders.
Area of Science:
- Hematology
- Oral Surgery
- Genetics
Background:
- Dental extractions can precipitate bleeding complications.
- Coagulopathies represent a significant risk factor for post-operative hemorrhage.
- Undiagnosed bleeding disorders may present atypically in adults.
Observation:
- A 51-year-old male presented with delayed and recurrent post-extraction bleeding.
- The patient had no reported personal or family history of bleeding tendencies.
- Initial assessments did not reveal an obvious cause for the excessive bleeding.
Findings:
- Occult Hemophilia B was diagnosed in the patient.
- Hemophilia B, a rare inherited bleeding disorder, was the underlying cause of the patient's symptoms.
- Diagnostic workup confirmed Factor IX deficiency.
Implications:
- This case underscores the critical importance of thorough pre-operative evaluation for coagulopathies.
- Clinicians should consider underlying bleeding disorders in patients with disproportionate or recurrent post-surgical bleeding, irrespective of family history.
- Early diagnosis of rare bleeding disorders like Hemophilia B can prevent severe complications and guide appropriate management.