Management of oral cavity bleeding in haemophilia patients

Tatalaksana perdarahan rongga mulut pada pasien hemofilia

Abstract

Haemostasis disorders are classified as coagulation factor deficiency, platelet disorders, vascular disorders and fibrinolytic de-fects. Haemophilia belongs to the first group of these diseases which are inherited recessively linked to the X-chromosome. Haemophilia is clinically characterised by serious and prolonged bleeding. Bleeding of the oral mucosa is often an incidental finding in children with haemophilia. A 1-year-old boy with complaints of persistent bleeding of the gums due to trauma by impact of a plastic water bottle since ±9 days was reported. The management of the case was routine blood tests, PT, aPTT and coagulation factor concentrations, debridement and hecting vulnus under general anaesthesia, joint care with the paedia-tric department of the HOM division, and administration of factor VIII injection. It was concluded that haemophilia is a seri-ous congenital bleeding disorder that requires early diagnosis. Anamnesis, clinical examination, supporting examination, and management must be prompt and appropriate to prevent further complications.