Korean J Pediatr Hematol Oncol.  1998 Apr;5(1):177-181.

A Case of Congenital Vitamin K Dependent Coaguation Factor Defeciency

Affiliations
  • 1Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea.

Abstract

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.

Keyword

Congenital vitamin K dependent coagulation factors

MeSH Terms

Administration, Intravenous
Anticoagulants
Blood Coagulation
Blood Coagulation Factors
Contusions
Eating
Hemorrhage
Humans
Infant
Liver Diseases
Male
Palate, Hard
Parents
Partial Thromboplastin Time
Parturition
Plasma
Prothrombin Time
Reference Values
Siblings
Vitamin K 1
Vitamin K*
Vitamins*
Anticoagulants
Blood Coagulation Factors
Vitamin K
Vitamin K 1
Vitamins
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