What Do Bleeding Gums Indicate As Per The Attached Reports?

Posted on Mon, 4 Jun 2018

Question: Hi

Please give me opinion on attached reports.

Answered by Dr. Indranil Ghosh (30 minutes later)

Brief Answer:
Appears to be a bleeding disorder

Detailed Answer:
Hi
I understand your concerns.

These reports, coupled with the bleeding gums, suggest a defect in blood coagulation, most likely deficiency of factor VIII or Von willebrand factor. I see that assays for these have been done but reports not available yet. These are usually congenital problems.

Once these are available, we can pinpoint the deficiency and then treat accordingly.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Indranil Ghosh (22 minutes later)

Thanks for the quick response, i shall post the reports when abailable mostly should come today.
Till then can i keep this post open?

Answered by Dr. Indranil Ghosh (53 minutes later)

Brief Answer:
Sure

Detailed Answer:
you can definitely keep it open

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Indranil Ghosh (22 minutes later)

Added one additional report, can you please check

Answered by Dr. Indranil Ghosh (5 hours later)

Brief Answer:
This appears to be factor VIII deficiency

Detailed Answer:
At least 25% of activity is required for its function, here it is 20%. Hence bleeding may occur. But unless it is less than 5%, serious bleeding is unlikely. We also need to look at VWF levels, as low VWF can also cause low factor VIII levels. Treatment will be different in these two conditions.

Above answer was peer-reviewed by : Dr. Vaishalee Punj