HEMOPHILIA AND IN A NEONATE - UNUSUAL EARLY SPONTANEOUS GASTROINTESTINAL-BLEEDING

A full-term male, healthy newborn infant suddenly developed melena and rectal fresh blood oozing at age of 4 days. He is the second patient described in the literature presenting a spontaneous gastrointestinal bleeding in the neonatal period as the first clinical manifestation of hemophilia B. The early appearance and severity of the hemorrhage, it s short duration, and good response to Factor IX (inefficiency of vita min K) was the characteristics of the affected neonate. Whenever a new born presents early spontaneous gastrointestinal bleeding, hemophilia B should be considered a possible etiology and blood coagulation studi es should be performed accordingly.