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رجوع لأسئلة Inherited Bleeding Disorders باقي 4
C-079 مطابق للمصدر

A young man presents with a history of easy bruising and prolonged bleeding after minor injuries. His maternal uncle also had a similar bleeding disorder. Laboratory investigations reveal a prolonged aPTT, with a normal PT. A mixing study corrects the aPTT. Which of the following is the most likely diagnosis?

سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد

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الإجابة والشرح

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الإجابة: B. Hemophilia A

✓ مطابق للمصدر Hematology🩸.pdf · p. 35

Easy bruising and prolonged bleeding in a young man whose maternal uncle is affected suggests X-linked inheritance. A prolonged aPTT with normal PT means an intrinsic-pathway factor problem, and correction on mixing means factor deficiency rather than an inhibitor. Together these fit haemophilia A (factor VIII deficiency).

  • vWD is autosomal and typically presents with mucocutaneous bleeding.
  • Factor VII deficiency prolongs the PT, not the aPTT.
  • Antiphospholipid antibodies (lupus anticoagulant) do not correct on mixing.
المصدر
Hematology🩸.pdf · p. 35
المحاضرة
Inherited Bleeding Disorders · Hematology · Module C
ظهر في
MED42 Compre C
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