Factor XIII deficiency mistaken for battered child syndrome: Case of “correct” test ordering negated by a commonly accepted qualitative test with limited negative predictive value
✍ Scribed by Richard S. Newman; Mehrdad Jalili; Bradley J. Kolls; Rosalind Dietrich
- Publisher
- John Wiley and Sons
- Year
- 2002
- Tongue
- English
- Weight
- 42 KB
- Volume
- 71
- Category
- Article
- ISSN
- 0361-8609
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✦ Synopsis
Abstract
We report herein a case of Factor XIII deficiency that remained undiagnosed until 2 years of age. Part of the delay in diagnosis was a consequence of testing that was performed on a blood sample obtained after plasma transfusion therapy for a life‐threatening bleeding episode. Due to insufficient family follow‐up after discharge from the hospital, the diagnosis was delayed 1 year until the child was rehospitalized and a pre‐transfusion plasma sample was tested. The commonly accepted approach of using only a qualitative test for the diagnosis of factor XIII deficiency is challenged by this case report. Am. J. Hematol. 71:328–330, 2002. © 2002 Wiley‐Liss, Inc.