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Acquired factor VII deficiency in pediatric inflammatory bowel disease: Report of three cases
Sevim Çakar1, Gülin Eren1, Tuba Hilkay Karapınar2
1Division of Pediatric Gastroenterology, Department of Pediatrics, University of Health Sciences Dr. Behçet Uz Children's Hospital, Izmir, Turkey.
Insights
Inflammatory bowel disease (IBD) can lead to acquired Factor VII (FVII) deficiency, increasing bleeding risk. Recognizing this link is crucial for managing gastrointestinal bleeding in IBD patients.
Area of Science:
- Gastroenterology
- Hematology
- Pediatrics
Background:
- Gastrointestinal bleeding is a complication of inflammatory bowel disease (IBD).
- Factor VII (FVII) deficiency is a rare, severe congenital bleeding disorder.
- The interplay between IBD and FVII deficiency is not well-established.
Abstract:
Bleeding disorders can exacerbate gastrointestinal bleeding in inflammatory bowel disease (IBD) at the time of diagnosis or flares. Factor VII (FVII) deficiency is a life-threatening rare congenital bleeding disorder in childhood. This study describes three adolescent patients with IBD accompanied by acquired FVII deficiency. This is the first case series of patients with IBD accompanied by FVII deficiency. We hypothesized that inflammation, accelerated consumption, disease severity, and weight loss can cause decreased FVII activity in patients diagnosed with IBD. To control intestinal bleeding, we must keep in mind factor deficiencies in IBD.
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