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What do bleeding gums indicate as per the attached reports?

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Answered by

Oncologist
Practicing since : 2004
Answered : 1464 Questions
Question
Hi

Please give me opinion on attached reports.
Mon, 4 Jun 2018 in Blood Disorders
 
 
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
 
Follow-up: What do bleeding gums indicate as per the attached reports? 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
 
Follow-up: What do bleeding gums indicate as per the attached reports? 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
 
Follow-up: What do bleeding gums indicate as per the attached reports? 18 hours later
Thanks doctor.. VWF test is given and it takes a month it seems for the results. Thanks alot for your opinion.
 
 
Answered by Dr. Indranil Ghosh 2 hours later
Brief Answer:
You are welcome

Detailed Answer:
Please close this thread if you don't need any more information.
Regards
Above answer was peer-reviewed by
 
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