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- Tomohiro Yamamoto, Martin Schmidt-Niemann, and Ehrenfried Schindler.
- Department of Pediatric Anesthesiology and Critical Care Medicine, Asklepios Klinik Sankt Augustin, German Pediatric Heart Center, Sankt Augustin, Germany. Electronic address: t.yamamoto@asklepios.com.
- Ann Emerg Med. 2016 May 1; 67 (5): 616-9.
AbstractWe report a rare case of acute upper airway obstruction caused by spontaneous retropharyngeal hemorrhage as a result of hemophilia A in a 16-year-old pediatric patient who routinely received factor VIII replacement. Initial diagnosis was delayed because the patient presented with symptoms, such as throat pain and odynophagia, similar to those of common benign upper airway infections. Within 2 days of the initial presentation of symptoms, the patient went into respiratory failure as a result of retropharyngeal hemorrhage. The possibility of spontaneous retropharyngeal or epiglottic hemorrhage or hematoma should be considered as a cause of rapidly progressing odynophagia and dyspnea by hemophilia patients.Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
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