HomeAnswersHematologyhemophiliaWhat is the treatment for my 9-month-old son with hemophilia B?

How can a 9-month-old baby with mild hemophilia B be managed?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At January 31, 2024
Reviewed AtJanuary 31, 2024

Patient's Query

Hi doctor,

My son, who is 9 months old, has been diagnosed with mild hemophilia B factor 9 deficiency, according to the lab reports. The first report showed 47 percent , while the second report showed 24 percent. How can I obtain accurate diagnostic results, and what is the treatment? Please help.

Answered by Dr. Ayesha Khanum

Hi,

We welcome you to icliniq family.

I appreciate the confidence you place in me for your healthcare consultation.

I understand your worry.

What is the history of your child? Any bleeding history? If so, was there a need for any transfusions? Levels of factor 9 may vary in different situations in life and at different ages. If your son is doing well and not experiencing spontaneous bleeding, there is a chance that it will remain stable, unless there is some trauma. The right diagnosis comes from reliable labs. Obtain the factor 9 assay from a reputable lab. Treatment involves factor 9 infusions, which can be administered at intervals to maintain the factor level within the normal range. Keep your child enrolled in a hemophilia treatment center where a good hematologist and medical team are available. I assure you that mild hemophilia is usually not very disruptive, except in cases of stress, such as surgery, trauma, or severe infections. Please send me the reports of the child and complete history. I am waiting for the reports. If available in your country and accessible to you, you can opt for mutation analysis to confirm the diagnosis. However, this is typically not necessary, as factor levels and history are usually sufficient for a diagnosis. General precautions include not allowing the child to participate in activities with a risk of trauma. In the event of trauma or bleeding, take the child to the hospital immediately. If there is any swelling of the knee, take the child to the hospital. Mild hemophilia can be managed with conservative treatment if there is no bleeding.

I hope this has helped you. Please feel free to reach me again, in case of further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ayesha Khanum
Dr. Ayesha Khanum

Hematology

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