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Indian Journal of Maternal-Fetal & Neonatal Medicine

Volume  9, Issue 1, January-June 2022, Pages 35-37

 

Case Report

Late onset Vitamin K Deficiency Bleeding: A Preventable Disease
Pramod Jog1, Aryan Kumar Gupta2, Gitika Sardana3, Shruti Talewad4, Sharad Agarkhedkar5
Professor, 2,33rd Year resident, 2nd Year resident, Department of Pediatrics, Dr DY Patil Medical College, Pune, Maharashtra 411018, India
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DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.9122.5

Abstract

Vitamin K is an essential vitamin required for the activation of coagulation factors II, VII, IX, X, and proteins C and S. The deficiency of vitamin K leads to coagulopathy leading to the development of vitamin K deficiency bleeding (VKDB). We present a case of a 2-month-old male child who presented with tonic posturing of all 4 limbs. At birth, vitamin k was not administered. The neonatal period was uneventful, and the child was exclusively breastfed. On further evaluation, a subdural hematoma was detected. A diagnosis of late-onset vitamin k deficiency was suspected. Treatment with intravenous vitamin K was started with complete recovery. The diagnosis of late-onset VKDB should be suspected when an intracranial hemorrhage in a previously healthy newborn is found especially when there is no history of Vitamin K administration after birth


Corresponding Author : Aryan Kumar Gupta