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Coagulation disorders and the pediatrician.

In children with unrecognized coagulation disorders

  • Routine injections may cause hematomas or
    bruising.20
  • Minor surgical procedures accompanied by
    prolonged bleeding are distressing for the patient
    and family, and healing may be delayed.

Children often get bumps, cuts and bruises. In children with unrecognized coagulation disorders, such minor injuries could lead to:

  • Doctors and parents mistaking heavy bruising
    secondary to minor blows for non-accidental injury
    or bullying.22
  • Excessive bruising and/or hematomas when
    children start contact sports, athletics,
    gymnastics, etc.
If you suspect a coagulation disorder, investigate the patient’s bleeding history.


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