Bleeding diathesis in Noonan syndrome

Joost M Staudt1, Chantal M A M Van der Horst, Marjolijn Peters

  • 1Department of Plastic and Reconstructive Surgery and Hand Surgery, Academical Medical Centre, Amsterdam, The Netherlands. joost@staudt.nl

An 18-year-old girl with Noonan syndrome was operated on for prominent ears. Subcutaneous haematomas developed on both sides, and coagulation tests reported a bleeding diathesis. This is seldom mentioned in descriptions of the syndrome, but it has been shown that one-third of all patients with the syndrome have defects in haemostasis. Extended screening is therefore useful.

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