Mild hemophilia A as a cause of bleeding in dermatologic surgery.
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.
D001777:Blood Coagulation; D002280:Basal Cell Carcinoma / Q000601:surgery; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D062109:Dermatologic Surgical Procedures; D005169:Factor VIII / Q000032:analysis; D006467:Hemophilia A / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology*; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D010976:Platelet Count; D011183:Postoperative Complications / Q000209:etiology*; D012878:Skin Neoplasms / Q000601:surgery
D005169:Factor VIII; D003894:Deamino Arginine Vasopressin