A case of cutaneous and mucous haemorrhage secondary to vitamin K deficiency in hyperemesis gravidarum

被引:4
|
作者
Devignes, J. [2 ]
Grare, M. [2 ]
Raft, J. [1 ]
Vial, F. [3 ]
Hacquard, M. [2 ]
Bouaziz, H. [3 ]
Lecompte, T. [2 ]
de Maistre, E. [4 ]
机构
[1] Nancy Univ, Ctr Alexis Vautrin, Dept Anesthesie Reanimat, F-54511 Vandoeuvre Les Nancy, France
[2] CHU Nancy, Serv Hematol Biol, F-54511 Vandoeuvre Les Nancy, France
[3] Maternite Reg Univ Nancy, Dept Anesthesie Reanimat, F-54000 Nancy, France
[4] CHU Dijon, Serv Hematol Biol, F-21000 Dijon, France
来源
关键词
Vitamin deficiency K; Hyperemesis gravidarum; PREGNANCY; OUTCOMES;
D O I
10.1016/j.annfar.2009.05.016
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The frequency of the syndrome of hyperemesis gravidarum (HG) varies from 0.1 to 2% according to the literature. The complications are generally benign. Some of them can compromise the life outcome. Only two cases of HG with bleeding disorder (major epitasis) related to a vitamin K deficiency were previous reported. Here is described a third case related to a vitamin deficiency K. It is characterized by a skin and mucosa haemorrhage (gingivorrhagias; bleeding in urine; bruises at the points of puncture) and by the necessity to treat her in emergency with fresh frozen plasma before intravenous vitamin K as soon as the diagnosis of vitamin K deficiency was done. The indication of the use of frozen fresh plasma is discussed. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:697 / 700
页数:4
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