Hemophilia A Complicated by Ulcerative Colitis

Background. Hemophilia A is an X-linked recessive disorder characterized by defective synthesis of Factor VIII protein. Depending on the level of FVIII activity, patients may present with easy bruising, inadequate clotting of traumatic or mild injury, or in severe hemophilia, spontaneous hemorrhage....

Full description

Saved in:
Bibliographic Details
Main Authors: Maxim Olivier, Mario Madruga, S. J. Carlan, Li Ge
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2018/2342618
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565611218075648
author Maxim Olivier
Mario Madruga
S. J. Carlan
Li Ge
author_facet Maxim Olivier
Mario Madruga
S. J. Carlan
Li Ge
author_sort Maxim Olivier
collection DOAJ
description Background. Hemophilia A is an X-linked recessive disorder characterized by defective synthesis of Factor VIII protein. Depending on the level of FVIII activity, patients may present with easy bruising, inadequate clotting of traumatic or mild injury, or in severe hemophilia, spontaneous hemorrhage. Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) that is reported to have a decreased frequency of occurrence in subjects with coagulation disorders. Case. A 26-year-old white male with Hemophilia A was admitted for one month of rectal bleeding. The bleeding continued despite Factor VIII replacement and colonoscopy and biopsy were performed confirming the presence of active UC. Conclusion. Ulcerative colitis with underlying F VIII deficiency can result in serious, prolonged, and possibly fatal bleeding if left unrecognized and untreated. Treatment of both conditions concurrently utilizing tertiary facilities and consultations appears to be the safest strategy for management.
format Article
id doaj-art-d604a0cd48a549dabeadebc7803975ba
institution Kabale University
issn 2090-6528
2090-6536
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Gastrointestinal Medicine
spelling doaj-art-d604a0cd48a549dabeadebc7803975ba2025-02-03T01:07:10ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/23426182342618Hemophilia A Complicated by Ulcerative ColitisMaxim Olivier0Mario Madruga1S. J. Carlan2Li Ge3Department of Medicine, Orlando Regional Healthcare, Orlando, Florida, USADepartment of Medicine, Orlando Regional Healthcare, Orlando, Florida, USADivision of Academic Affairs and Research, Orlando Regional Healthcare, Orlando, Florida, USADepartment of Pathology, Orlando Regional Healthcare, Orlando, Florida, USABackground. Hemophilia A is an X-linked recessive disorder characterized by defective synthesis of Factor VIII protein. Depending on the level of FVIII activity, patients may present with easy bruising, inadequate clotting of traumatic or mild injury, or in severe hemophilia, spontaneous hemorrhage. Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) that is reported to have a decreased frequency of occurrence in subjects with coagulation disorders. Case. A 26-year-old white male with Hemophilia A was admitted for one month of rectal bleeding. The bleeding continued despite Factor VIII replacement and colonoscopy and biopsy were performed confirming the presence of active UC. Conclusion. Ulcerative colitis with underlying F VIII deficiency can result in serious, prolonged, and possibly fatal bleeding if left unrecognized and untreated. Treatment of both conditions concurrently utilizing tertiary facilities and consultations appears to be the safest strategy for management.http://dx.doi.org/10.1155/2018/2342618
spellingShingle Maxim Olivier
Mario Madruga
S. J. Carlan
Li Ge
Hemophilia A Complicated by Ulcerative Colitis
Case Reports in Gastrointestinal Medicine
title Hemophilia A Complicated by Ulcerative Colitis
title_full Hemophilia A Complicated by Ulcerative Colitis
title_fullStr Hemophilia A Complicated by Ulcerative Colitis
title_full_unstemmed Hemophilia A Complicated by Ulcerative Colitis
title_short Hemophilia A Complicated by Ulcerative Colitis
title_sort hemophilia a complicated by ulcerative colitis
url http://dx.doi.org/10.1155/2018/2342618
work_keys_str_mv AT maximolivier hemophiliaacomplicatedbyulcerativecolitis
AT mariomadruga hemophiliaacomplicatedbyulcerativecolitis
AT sjcarlan hemophiliaacomplicatedbyulcerativecolitis
AT lige hemophiliaacomplicatedbyulcerativecolitis