Inherited Bleeding Disorders in Dermatologic Surgery

Authors: Peterson, S. Ray1; Joseph, Aaron K.2

Source: Dermatologic Surgery, Volume 27, Number 10, October 2001 , pp. 885-889(5)

Publisher: Blackwell Publishing

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Abstract:

Background.

A patient referred for Mohs micrographic surgery of a basal cell carcinoma had a history of a congenital clotting factor IX deficiency requiring recombinant factor IX replacement. Objective.

To examine the management and problems associated with cutaneous surgery in patients with inherited clotting factor deficiencies. Methods.

Case report and review of the medical literature. Results.

Reconstructive options must be carefully chosen to minimize bleeding in patients with clotting factor deficiencies. Preoperative consultation with a hematologist and coagulation factor replacement both before and after cutaneous surgery prevent excessive hemorrhage. Conclusion.

Meticulous attention to hemostasis, careful preoperative assessment, and postoperative follow-up minimize complications in patients with known coagulation deficiencies who require cutaneous surgery.

Document Type: Review article

Affiliations: 1: Department of Dermatology, University of Texas Health Science Center at Houston and 2: Division of Dermatology, MD Anderson Cancer Center, Houston, Texas

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