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Adenoidectomy in a girl with haemophilia

Published online by Cambridge University Press:  29 June 2007

H. C. Harrison*
Affiliation:
Visting Ear, Nose and Throat Surgeon, Royal Alexandra Hospital for Children, Sydney, Australia.
A. Lammi
Affiliation:
Head, Department of Haematology, Royal Alexandra Hospital for Children, Sydney, Australia.
*
Henley C. Harrison, F.R.C.S., F.R.C.S.Ed., BMA House, 135 Macquarie Street, Sydney 2000.

Abstract

Haemophilia A is a sex-linked inherited disease in which those affected are usually males, and females are usually asymptomatic carriers. This paper presents a haemophilia A carrier who has a low factor VIII level first, to remind readers that females can have low factor VIII levels with consequent increased tendency to bleed; second, to stress the importance of routine questioning regarding a bleeding tendency in the patient or the patient's family and third, to illustrate the importance of pre-operative diagnosis to allow adequate correction of the defect so that surgery such as adenoidectomy can be undertaken with safety in such a patient.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1991

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References

Capper, J. W. R., Randall, C. (1984) Post-operative haemorrhage in tonsillectomy and adenoidectomy in children. Journal of Laryngology and Otology, 98: 363365.Google Scholar
Carruth, J. A. S. (1969) Post-tonsillectomy haemorrhage in a carrier of Haemophilia A. Journal of Laryngology and Otology, 83: 10351037.CrossRefGoogle Scholar
Harrison, H. C., Lord, R. S. A., Chesterman, C. N., Biggs, J. C., Tracy, G. D. (1972) Spontaneous intramural haematoma in the sigmoid colon of a haemophiliac. Australian and New Zealand Journal of Surgery, 42: 6970.Google Scholar
Kerr, C. B. (1963) In: The Management of Haemophilia. Australasian Medical Publishing Company: Sydney. p. 103.Google Scholar
Livingstone, G. (1965) Throat and nose surgery in patients with constitutional haemostatic defects. Proceedings of the Royal Society of Medicine 58: 6572.CrossRefGoogle ScholarPubMed
Lusher, J. M. (1987) In: Hematology of infancy and childhood, 3rd edition. (Nathan, M. D., Oske, F. A., Eds.) W. B. Saunders Company: Philadelphia. p. 1310.Google Scholar
Rizza, C. R. (1976) In: Human Blood Coagulation, Haemostasis and Thrombosis, Second edition (Biggs, R., ed.) Blackwell Scientific Publications: Oxford. p. 238.Google Scholar
Shen, M.-C. (1982) A comparative study of carrier detection in haemophilia A by linear discriminant function. British Journal of Haematology, 52: 283293.Google Scholar
Wintrobe, M. M., Lee, G. R., Boggs, D. R., Bithell, T. C., Athens, J. W., Foerster, J. (1974) In: Clinical Hematology, 7th Edition (Wintrobe, M. M., Lee, G. R., Boggs, D. R., Bithell, T. C., Athens, J. W., Foerster, J., eds.) Lea and Febiger: Philadelphia. p. 11581200.Google Scholar