A Typical presentation of Haemophilia A: A case report of a 12-year-old boy in Abeokuta, Nigeria.

Abstract

Haemophilia A typically manifests with soft tissue or bleeds. Rarely, bleeds may occur at intracranial, iliopsoas, oropharyngeal or penoscrotal sites. These uncommon bleeding necessitate a high index of suspicion for prompt diagnosis, to prevent potential life-threatening outcomes. We report a 12-year-old known patient with severe haemophilia A who at different times, had spontaneous jaw bleeding extending to the anterior neck and spontaneous penile shaft haematoma. Bleeding resolved following administration of factor VIII concentrates and anti-fibrinolytic agents. He was subsequently discharged to our clinic for follow-up and has been symptom-free.