[Recurrent hematomas and normal standard hemostasis tests].
The authors report the case of a 22-month-old boy experiencing a voluminous subcutaneous haematoma, 72 hours after a head trauma. Two subsequent drainages of this haematoma were required because of its recurrence. The child, whose parents had blood relations, suffered from recurrent bleeding since his birth. A standard haemostasis assessment including prothrombin time, activated partial thrombopiastin time, bleeding time, concentration of fibrinogen and platelet count was unremarkable. Therefore, coagulation factors were explored. An inherited factor XIII deficiency (less than 2%) was recognized. A new drain was inserted, after administration of factor XIII concentrate. The time course of the haematoma was favourable. After discharge, the prophylactic therapy consisted of an injection of factor XIII concentrate (50 Ul.kg-1) every 5 weeks.
Wiel
E
E
Département d'anesthésie-réanimation chirurgicale 2, hôpital Claude-Huriez, CHU Lille, France.
Marciniak
B
B
Wibaut
B
B
D001780:Blood Coagulation Tests; D006259:Craniocerebral Trauma / Q000150:complications* / Q000601:surgery; D005176:Factor XIII / Q000627:therapeutic use; D005177:Factor XIII Deficiency / Q000150:complications / Q000235:genetics; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D012008:Recurrence; D012016:Reference Values
D005176:Factor XIII