DOI: 10.36347/sjams.2019.v07i05.045

Pages: 1910-1915

Abnormal bleeding in a child creates anxiety to the parents and family. Failure to investigate and treat these children adequately may result in high morbidity and mortality. Hence a thorough knowledge about the common bleeding disorders in children is necessary for all practicing Pediatricians. Abnormal bleeding may be caused by congenital or acquired diseases. Among the congenital diseases Von Willebrand disease and Hemophilia A are common. Hemophilia B and factor XIII deficiency are less common. Among the acquired diseases the common one is Immune Thrombocytopenic Purpura. A detailed clinical history and thorough physical examination will guide the Pediatrician to decide on the tests to be done to arrive at a definitive diagnosis and to manage effectively. Hemophilia A and B are X linked recessive disorders and hence usually the males suffer from the disease. When Non Accidental Injury is suspected in a case of bruising, in addition to a detailed history, meticulous clinical examination and appropriate blood tests are essential to rule out bleeding disorder. The physiology of coagulation, the factors involved in coagulation and the various tests done to detect them are briefly presented in this article.