A Case Presenting Massive Umbilical Hemorrhage with Previously Unrecognized Factor XIII Subunit A Mutation (Factor XIII A1 gene; NM_000129.3 c.1817_1817delA (p.H606Pfs*23) (p.His606Profs*23, homozygous)
Öz
ABSTRACT
Congenital factor XIII deficiency is an autosomal recessive inheritance bleeding disorder. Usually, the cause of this disease is deficiency of factor XIII subunit A protein in plasma. Some symptoms of the disease support that the clinical suspicions related to FXIII deficiency. For example; prolonged umbilical cord bleeding which is started in the newborn period. Diagnose of Factor XIII deficiency is difficult, on the other hand it has important therapeutic implications. When cryoprecipitate or plasma-derived factor XIII concentrate is used prophylactically, the prognosis of the disease will be good. We report here a case related to factor XIII deficiency with presented a massive umbilical cord bleeding as the first manifestation of factor XIII deficiency. The patient was managed successfully with cryoprecipitate, fresh frozen plasma transfusion and supportive treatments.
Anahtar Kelimeler
Kaynakça
- 1. Killick CJ, Barton CJ, Aslam S, Standen G. Prenatal diagnosis in factor XIII-A deficiency. Arch Dis Child Fetal Neonatal Ed 1999;80: F238-9.
- 2. Von der Weid N, Furlan M, Siegenthaler I, Lämmle B. An infant with umbilical cord and intracranial hemorrhage--severe factor XIII deficiency. Ther Umsch 1999; 56: 544-6.
- 3. Odame JE, Chan AK, Wu JK, Breakey VR. Factor XIII deficiency management: a review of the literature. Blood Coagul Fibrinolysis 2014;25:199-205.
- 4. Sawlani KK, Chaudhary SC, Roy A, Tripathi AK. Factor XIII Deficiency Presenting With Intracerebral Bleed. BMJ Case Rep 2013;2013.
- 5. Hsieh L, Nugent D. Factor XIII Deficiency. Haemophilia 2008;14: 1190-200.
- 6. Öcek Ö, Bilgin RR, Bilgir O, Gedizlioğlu M. Recurrent Spontaneous Intracerebral Haemorrhage Due To Factor XIII Deficiency. Turkish Journal Of Cerebrovascular Diseases 2014; 20: 24-27.
- 7. Cushing MM, Fitzgerald MM, Harris RM, Asmis LM, Haas T. Influence of cryoprecipitate, Factor XIII, and fibrinogen concentrate on hyperfibrinolysis. Transfusion 2017;57: 2502-2510.
- 8. Karimi M, Peyvandi F, Naderi M, Shapiro A. Factor XIII deficiency diagnosis: Challenges and tools. Int J Lab Hematol 2018;40: 3-11.