Congenital Factor VII Deficiency Presenting With Isolated Recurrent Hematuria: A Case Report

  • Shahla Ansari Damavandi Department of Pediatric Hematology and Oncology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
  • Maryam Shamspour Department of Pediatric Hematology and Oncology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
  • Neda Ashayeri Department of Pediatric Hematology and Oncology, Ali Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
  • Milad Ahmadi Marzaleh Department of Health in Disasters and Emergencies, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
Keywords: Hematuria; Congenital factor VII; Children, Coagulation factors

Abstract

Factor VII deficiency is a rare congenital coagulopathy disorder. In most cases, this disorder is diagnosed in childhood. Common symptoms of congenital factor VII deficiency are different and consist of cutaneous, mucosal hemorrhage, gastrointestinal bleeding, and joint bleeding. CNS hemorrhage is a fatal and severe complication of congenital factor VII deficiency. The incidence of gross hematuria is a rare symptom of factor VII deficiency. Isolated presentation of hematuria is rarer and usually is accompanied by bleeding in other sites. The patient reported here is a 6-month-old girl who was diagnosed with congenital Factor VII deficiency following episodes of isolated gross hematuria. We decided to report this case to demonstrate if there is no other organic cause in the investigation of a child with recurrent hematuria, we should also consider a coagulation factors deficiency. Since isolated hematuria is a rare symptom in the coagulation factors deficiency, the coagulation tests may be of less interest.

Published
2021-08-07
Section
Articles