Identifying a coagulation disorder during childhood.
- Approximately 1% of the general population has a mutation in the von Willebrand factor gene.
- Female carriers of hemophilia A & B have an
increased risk of bleeding after trauma and
- Avoiding joint bleeds in children is important
because it may prevent long-term joint disease.18
- A simple interview is useful as a screening tool.19
Any of the following situations could indicate a coagulation disorder:
When discussing bruising, ask the patient whether he or she has had other symptoms of potential coagulation disorders.
- Prolonged bleeding after circumcision.
- Toddlers with bruised knees.
- Extensive shoulder bruising from schoolbags.
- Large hematomas from minor injuries.
- Frequent or prolonged nosebleeds (epistaxis).
This takes only five minutes – better safe than sorry!
Ask the patient about the 5 Signs