Oral surgery for combined haemophilia A and B. The dos and don’ts presented in a clinical scenario
Madalina Anca Lazar 1, Ovidiu Muresan 2, Calin Rares Roman 1, Delia Dima 3, Mihai Stefan Muresan 4, Gabriel Armencea 1, Ciprian Tomuleasa 3, Horatiu Rotaru 1
Affiliations
Article Info
1 Department of Implantology and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca, Romania
2 Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca, Romania
3 Department of Hematology, Ion Chiricuta Clinical Research Center, Cluj Napoca, Romania
4 Department of Surgery, Iuliu Hatieganu University of Medicine and Pharmacy Cluj Napoca, Romania
Abstract
BACKGROUND: Haemophilia A (factor VIII deficiency), B (factor IX deficiency) and C (factor XI deficiency) are com- mon genetic bleeding disorders. Most often they are caused by the absence or defective function of coagulation factors, causing inefficient blood clots. CASE REPORT: The present manuscript describes a rare case of a combined haemophilia A and B patient, who under- went several extractions. The therapy and clinical management is presented, in the view of surgeon as well as haema- tologist. CONCLUSION: These patients are a serious challenge for the oral surgeons due to an increased number of accidents and complications. Scarce literature covering this topic contributes, as well, to the difficult management. Thus, several prin- ciples must be considered when diagnosing and treating haemophilia patients.
Keywords
- Haemophilia
- Oral surgery