Keywords :
Case report, De novo mutation, Hemophilia B, Oral bleeds evaluation, Rare bleeding disorders
Citation Information :
Gaviappa D, Shetty AK, Jeniffer N, Ramu SA, Sharma S, Narayanan R. Incidental Diagnosis of Christmas Disease in a 5-year-old Child: A Case Report. Int J Clin Pediatr Dent 2025; 18 (2):235-238.
Case description: A 5-year-old boy presented with bleeding gums following a fall from the swing. Initial treatment at a private clinic involved clot removal and gauze application. Despite no prior history of abnormal bleeding, the child experienced delayed and continuous bleeding, prompting further evaluation. Blood tests revealed normal prothrombin time (PT) but abnormal activated partial thromboplastin time (APTT), indicating a coagulation disorder. Vitamin K was administered, but profuse bleeding recurred, leading to hospital admission. Further tests confirmed a diagnosis of mild hemophilia B with low factor IX levels. The patient received fresh frozen plasma (FFP) transfusion, which stopped the bleeding. Follow-up showed a clean injury site after intervention.
Conclusion and clinical significance: This case underscores the need for high suspicion, thorough investigation, and prompt management in bleeding disorders, especially since patients may be unaware of their condition until a bleeding episode occurs.
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