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
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
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