Description

Hemorrhagic disease of the newborn (HDNB) needs to be distinguished from other causes of neonatal or infantile bleeding.


 

Hereditary coagulation factor defects:

(1) hemophilia A or B (Factor 8 or 9 deficiency)

(2) von Willebrand’s disease

 

Acquired coagulation factor defects:

(1) coumarin or heparin exposure (accidental, intentional)

(2) liver disease

 

Thrombocytopenia:

(1) hereditary platelet defects

(2) immune thrombocytopenic purpura (ITP)

(3) neonatal isoimmune thrombocytopenia

(4) congenital leukemia

(5) bone marrow hypoplasia or aplasia

 

Multifactorial:

(1) disseminated intravascular coagulation (DIC)

(2) infection or sepsis

 


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