Acquired Vitamin K Deficiency as Unusual Cause of Bleeding Tendency in Adults: A Case Report of a Nonhospitalized Student Presenting with Severe Menorrhagia
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Author(s)
Zekavat, Omid Reza
Fathpour, Gholamreza
Haghpanah, Sezaneh
Dehghani, Seyed Javad
Shakibazad, Nader
Zekavat, Seyedeh M.
Date Issued
August 2017
Journal
Case Reports in Obstetrics and Gynecology
Publisher
Hindawi Publishing Corporation
Citation
Zekavat, Omid Reza et al. "Acquired Vitamin K Deficiency as Unusual Cause of Bleeding Tendency in Adults: A Case Report of a Nonhospitalized Student Presenting with Severe Menorrhagia." Case Reports in Obstetrics and Gynecology 2017, 4239148 ( August 2017) © 2017 Omid Reza Zekavat et al
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Final published version
Abstract
We report a rare case of acquired vitamin K deficiency presenting with severe menorrhagia and without any gynecological problem. Partial thromboplastin time (59.2 seconds) and prothrombin time (33.1 seconds, INR: 5.97) were considerably prolonged in laboratory evaluations. A complete coagulation factor assay test was performed for the patient: factor IX, 24%; factor II, 41%; factor VII, 3%; and factor X, 52%. She had been taking many high-energy drinks and she had inadequate dietary intake for the past 6 months. Given that she had vitamin K deficiency (VKD), a course of vitamin K therapy was started for her in the hospital. This case showed the potential for menorrhagia due to VKD with use of high-energy drinks and the value of a complete and detailed history in early diagnosis.
MIT Department
Massachusetts Institute of Technology. Department of Biological Engineering
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DOI of Published Version
https://doi.org/10.1155/2017/4239148
