Korean J Pediatr Hematol Oncol.
1998 Apr;5(1):177-181.
A Case of Congenital Vitamin K Dependent Coaguation Factor Defeciency
- Affiliations
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- 1Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
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Congenital combined deficiency of vitamin K dependent coagulation factors is a rare coagulation disorder. We experienced a 20-month old boy who was found to have a congenital vitamin K dependent coagulation factor defeciency. He presented with continuous bleeding on lacerated hard palate and had a history of numerous hemorrhagic episodes with multiple bruises after birth. Laboratory finding showed prolonged prothrombin time and partial thromboplastin time. Blood coagulation work-up showed marked decreased activities of the coagulation factors II, VII, IX, X and the natural anticoagulants proteins C and S. Assay of coagulation factors in the parents and sibling were with the normal range. There's no evidence of malabsorption, liver disease or ingestion of a coumarin compound. Response to intravenous administration of vitamin K1 was not significant but transfusion of fresh frozen plasma corrected prothrombin time and partial thromboplastin time.
We reported a case of congenital combined deficiency of vitamin K dependent coagulation factors.