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Prepubertal Bleeding as a Presenting Symptom of Von Willebrand Disease: A Case Report.
Journal of Pediatric and Adolescent Gynecology ( IF 1.8 ) Pub Date : 2019-12-25 , DOI: 10.1016/j.jpag.2019.12.010
Charis Chambers 1 , Oluyemisi Adeyemi-Fowode 1
Affiliation  

Background

Von Willebrand disease (VWD) affects approximately 1% of the population and is often diagnosed after the presentation of mucocutaneous bleeding.

Case

A 7-year-old girl with eczema and constipation presented to clinic reporting vaginal bleeding. External genital examination findings were normal, and results of a workup for precocious puberty were negative. Vaginoscopy revealed an atypical appearance with increased vascularity and friability. Oral mucosal bleeding at the time of extubation prompted additional workup and hematology referral, which led to diagnosis of type I VWD.

Summary and Conclusion

It is important to keep bleeding disorders on the differential, for unexplained prepubertal vaginal bleeding, to aid in prompt diagnosis.



中文翻译:

青春期前出血为von Willebrand病的表现症状:一例报告。

背景

冯·威勒布兰德病(VWD)影响约1%的人口,通常在出现粘膜皮肤出血后才被诊断出。

案件

一名患有湿疹和便秘的7岁女孩到诊所就诊,报告阴道流血。外部生殖器检查结果正常,性早熟检查结果为阴性。阴道镜检查显示非典型的外观,血管和脆性增加。拔管时口腔粘膜出血提示进一步的检查和血液学转诊,从而诊断出I型VWD。

总结与结论

保持出血性疾病的差异很重要,对于无法解释的青春期前阴道出血,有助于及时诊断。

更新日期:2020-03-31
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