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Parahaemophilia presenting as an interesting scalp swelling
*For correspondence: trehanamita@hotmail.com
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This article was originally published by Wolters Kluwer - Medknow and was migrated to Scientific Scholar after the change of Publisher.
A five year old male child† presented to the outpatient service in the department of Pediatrics, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh, India, in April 2019 with complaints of enlarging head size since one month. Diffuse boggy lumpy-bumpy swellings were found over the entire scalp (Fig. 1). There was no history of trauma. General and systemic examination was normal. The coagulogram revealed prolongation of prothrombin time and activated prothrombin time, which remained uncorrected after administration of vitamin K. The liver function parameters were normal. Further tests confirmed parahaemophilia/factor V deficiency (levels 0.4%). There was no history of bleeding. On probing, a history of trivial trauma, before the enlarging head, was obtained. He was treated with fresh frozen plasma transfusion for three days. All scalp swellings had disappeared at follow up after two months (Fig. 2). To conclude, inherited bleeding disorders can have peculiar clinical presentations mimicking common childhood illnesses.
- Diffuse, boggy scalp swelling at presentation.
- Complete disappearance of the swelling after at follow up two months.
Acknowledgment:
Authors acknowledge Dr Jasmina Ahluwalia, department of Hematology, PGIMER, Chandigarh, India, for laboratory workup.
Conflicts of Interest: None.
