Hemophilia is charactarized by a congenital deficiency of factor VIII or factor IX activity. It usually occurs in males and is inherited as a sex-linked recessive trait. In approximately 40% of patients, hewever, there is no family history of the disease.
Here we report a case of serious hemophilia A presenting with oral mucosal bleeding and review the relevant literature.
The patient was an 11-month-old boy with bleeding from the frenulum of the tongue.
At first presentation, we sutured the bleeding site, and thoght that hemostasis had been achieved. However, we found a hematoma and slight bleeding of the wound on review the next day, we suspected hemopathy and lavoratory tests revealed severe hemophilia A with less than 1% factor VIII activity.