Hemorrhages main risk in children

• April 26, 2024

The nosebleed , of articulations and internally of the skull, represents the main risk to life and the organic function of people with hemophilia , especially in children, said Adolfina Berges García , hematologist attached to the Pediatric Hematology Service of the General Hospital, National Medical Center (CMN) La Raza.

This hereditary disease only affects men, in whom the coagulation and the functioning of the musculoskeletal system is altered, due to the deficiency of a coagulation protein (factor 8 in the hemophilia type A , or factor 9 in the case of Hemophilia B ) Berges García, stated that the hemophilia it is not cured, but it can be kept under control: "In the IMSS we have specialists in orthopedics, physical medicine, nurses, psychologists and social workers, who guide the patient and his family to carry the disease and have a good quality of life" .

The hematologist, reported that the hemorrhages occur at the level of the joints, which causes intense pain and inflammation, symptoms that are often confused with rheumatoid arthritis , if the patient has not been diagnosed with hemophilia . He explained that the first clinical manifestation of the disease occurs when the child begins to crawl, with increased volume in the joint or, bruises appear on various parts of the body: "Even when there is a blow, the bruise is larger and that makes us suspect, first, of a case of septic arthritis , when there is no family history of the disease, and then, of problems in the coagulation, "reiterated the IMSS expert.

Berges García warned that when adequate treatment is not prescribed, the patient runs the risk of dying in adolescence or in very early stages: "For example, when presenting some hemorrhage in the head or internal organs, patients with hemophilia under medical supervision they have no predisposition for other conditions and they can get sick just like the rest of the general population.