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Hemophilia B in a Female Adolescent: A Case Report
Joanna Francesca C. Nayal, MD; Ma. Susan C. Balete, MD, FPOGS, FPSUOG, FPSSTD
Department of Obstetrics and Gynecology, Our Lady of Lourdes Hospital
A 13 year-old female presented with profuse vaginal bleeding. She had history of several hospital admissions because of bleeding manifestations like hematuria and epistaxis. Based on the pedigree analysis and results of factor IX assay tests she was diagnosed to have Hemophilia B of moderate severity. She was given hormonal and non-hormonal treatments as well as blood transfusions which stop the bleeding and corrected the anemia. A multidisciplinary approach of management involving the gynecologist, hematologist
and a geneticist will be beneficial to the patient. The inheritance, clinical manifestations, diagnosis and treatment of Hemophilia B in a female adolescent are discussed.