PMC9066585_01
Clinical signs of bleeding in the presented case. A: excessive swelling of the left half of the face; B: hematoma; C: spontaneous hematoma at the forearm.
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Physical examination showed an excessive swelling of the left half of the face, a hematoma descending from the facial and mandibular area to the throat and the thorax, and spontaneous hematoma of the forearm (Figure 1).
Factor aPTT and factor VIII activity in two different assays at the patient's first presentation and follow-up.
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f2
The prednisolone dosage was slowly tapered (Figure 2).
PMC9066585_02
Factor aPTT and factor VIII activity in two different assays at the patient's first presentation and follow-up.
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f3
Afterwards, corticosteroid treatment with prednisolone was tapered weekly without reoccurrence of bleeding when the factor VIII activity rapidly normalized (Figure 3).