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Published on: September 30, 2021
Mild hemophilia A as a cause of bleeding in dermatologic surgery
1Division of Dermatology, University of Missouri School of Medicine, Columbia.
Abstract:
A 63-year-old male had major postoperative bleeding complications following the excision of a basal cell carcinoma. The patient denied a prior history of bleeding complications and had normal coagulation screening studies. After coagulation evaluation, he was found to have mild hemophilia A with 23% of normal Factor VIII C. We discuss an approach to the evaluation of coagulation in patients with perioperative and postoperative bleeding. Also, we outline treatment alternatives for patients with hemophilia A who need cutaneous surgery.
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