Acquired Hemophilia A Simulating Retropharyngeal Abscess: Importance of Differential Diagnosis of Neck Masses before Surgery  

作　　者：Isabel López-Sánchez José-Ramón Alba-García Cristina Vázquez-Romero Miguel Armengot-Carceller 

机构地区：[1]ENT Department, General and University Hospital, Valencia, Spain [2]Rhinology Unit, ENT Department, General and University Hospital.Valencia University, Valencia, Spain

出　　处：《International Journal of Otolaryngology and Head & Neck Surgery》2015年第4期282-285,共4页耳鼻喉（英文）

摘　　要：The coexistence of acquired hemophilia A with a secondary retropharyngeal hematoma is an extremely unusual condition with important clinical implications. The purpose of this paper is to present a case involving a patient whose first clinical manifestation, namely dysphagia, along with specific clinical examination and imaging findings, led to an incorrect initial diagnosis of a retropharyngeal abscess. However, performance of a more thorough clinical examination led to the correct diagnosis of a hematoma secondary to acquired hemophilia A. This allowed surgery to be avoided in a patient at a high risk of bleeding. Conclusions: Acute neck masses require meticulous differential diagnosis assessing the possible presence of various causative systemic diseases before the most appropriate therapy can be determined.The coexistence of acquired hemophilia A with a secondary retropharyngeal hematoma is an extremely unusual condition with important clinical implications. The purpose of this paper is to present a case involving a patient whose first clinical manifestation, namely dysphagia, along with specific clinical examination and imaging findings, led to an incorrect initial diagnosis of a retropharyngeal abscess. However, performance of a more thorough clinical examination led to the correct diagnosis of a hematoma secondary to acquired hemophilia A. This allowed surgery to be avoided in a patient at a high risk of bleeding. Conclusions: Acute neck masses require meticulous differential diagnosis assessing the possible presence of various causative systemic diseases before the most appropriate therapy can be determined.

关 键 词：DYSPHAGIA Cervical Inflammation COAGULOPATHY HEMATOMA APTT PARAPHARYNGEAL Spaces 

分 类 号：R73[医药卫生—肿瘤]