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

DOI: 10.4236/ijohns.2015.44048   PDF   HTML   XML   2,868 Downloads   3,276 Views   Citations

Abstract

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.

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López-Sánchez, I. , Alba-García, J. , Vázquez-Romero, C. and Armengot-Carceller, M. (2015) Acquired Hemophilia A Simulating Retropharyngeal Abscess: Importance of Differential Diagnosis of Neck Masses before Surgery. International Journal of Otolaryngology and Head & Neck Surgery, 4, 282-285. doi: 10.4236/ijohns.2015.44048.

Conflicts of Interest

The authors declare no conflicts of interest.

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