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Published on: September 30, 2021
Pediatric hemophilia: a review
Roshni Kulkarni1, J Michael Soucie
1Department of Pediatrics and Human Development, Michigan State University, East Lansing, Michigan 48824, USA. Roshni.Kulkarni@hc.msu.edu
Hemophilias, common X-linked bleeding disorders, present unique challenges in newborns versus older patients. Early recognition and prophylaxis are key to preventing complications like intracranial hemorrhage (ICH).
Area of Science:
- Hematology
- Pediatrics
- Genetics
Background:
- Hemophilias are prevalent X-linked inherited bleeding disorders requiring careful management to prevent chronic illness and disability.
- Clinical manifestations and management challenges in hemophilia differ significantly between newborns and older individuals.
Purpose of the Study:
- To highlight the age-specific bleeding sites and complications in pediatric hemophilia.
- To emphasize the importance of early diagnosis, appropriate management, and preventive strategies, including prophylaxis.
Main Methods:
- This study reviews the clinical presentations and management considerations for hemophilia across different pediatric age groups.
- It synthesizes current understanding of bleeding patterns, common complications, and evolving treatment paradigms.
Main Results:
- Bleeding events are primary diagnostic indicators in children, with specific sites varying by age.
- Newborns are prone to delivery-associated intracranial hemorrhage (ICH), bleeding after circumcision, and venipuncture issues.
- Older children and adolescents face risks of joint disease and bleeding from head trauma.
Conclusions:
- Awareness of age-specific clinical features and potential treatment complications is vital for effective hemophilia care.
- Inhibitors and ICH remain significant challenges, with prophylaxis emerging as the preferred preventive strategy for optimal outcomes.
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