Post‐extraction bleeding—An aid to diagnosis? Case report

Abstract

Haemophilia A, the most common of bleeding disorders is characterized by bruising and spontaneous bleeding into the joints but may remain undiagnosed if present in the mild form. A case is discussed where episodes of bruising and joint swelling as a child were misdiagnosed as rheumatic fever and the bleeding disorder was diagnosed following recurrent episodes of bleeding after extraction of an upper molar tooth.

Clinical investigation of oral findings in inherited disorders of platelet function

“…It was reported that some patients are diagnosed following oral symptoms and complications that occur during and after dental treatment [13][14][15]18]. Case reports have described submucosal hemorrhaging, gingival bleeding, petechiae, ecchymosis, and hematomas in patients with IDPF [15][16][17][18][19][20][21].…”

Uncontrollable bleeding after tooth extraction from asymptomatic mild hemophilia patients: two case reports

“…Generally, most hemophilia patients are diagnosed preoperatively and tooth extractions are performed with a personalized hemostasis management plan. After performing a literature review, we found 2 cases of mild hemophilia after oral invasive surgery (tooth extraction [ 5 ] and electrosurgical resection of pericoronal flap [ 6 ]), while the two case reports lack preoperative APTT results. There are some patients with normal preoperative APTT results who had uncontrollable bleeding after surgeries (including tonsillectomy [ 7 ], ocular trauma [ 8 ], thyroidectomy [ 9 ]), and they were diagnosed with mild hemophilia A by factor assays eventually.…”