title: Multidisciplinary management of expanding bilateral neck hematomas in a patient with Hemophilia A with high-titer inhibitor.
abstract: There are multiple modalities by which trauma occurs to the neck. One of these includes minor suction trauma which usually results in a superficial bruising of the skin. While this usually self-resolves, patients with hemophilia are at higher risk for the development of bleeding from such trauma. Hematomas of the head and neck in patients with hemophilia have seldom been reported. We report a unique case of expanding bilateral neck hematomas secondary to suction trauma in a patient with Hemophilia A with high-titer inhibitor and highlight the importance of a multidisciplinary approach in the management of this complex patient.
authors.affiliation: Division of Otolaryngology, Children's National Medical Center, George Washington University School of Medicine, Washington, DC 20010, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Jaryszak
authors.forename: Susan T
authors.initials: ST
authors.lastname: Verghese
authors.forename: Michael F
authors.initials: MF
authors.lastname: Guerrera
authors.forename: Rahul K
authors.initials: RK
authors.lastname: Shah
mesh_terms: D058109:Airway Management; D001779:Blood Coagulation Factors / Q000627:therapeutic use; D004417:Dyspnea / Q000628:therapy; D006406:Hematoma / Q000000981:diagnostic imaging / Q000628:therapy*; D006467:Hemophilia A / Q000188:drug therapy / Q000276:immunology*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D019838:Neck Injuries / Q000150:complications; D009334:Neck Muscles / Q000000981:diagnostic imaging; D010348:Patient Care Team; D011859:Radiography; D055815:Young Adult
chemical_list: D001779:Blood Coagulation Factors; C065655:anti-inhibitor coagulant complex