The burned hemophiliac

Anthony A. Smith, Cleon W. Goodwin, William F. McManus, Basil A. Pruitt

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Reports of the care of burned hemophiliac patients requiring cutaneous autografting are rare. A 28-year-old white male with classic hemophilia A sustained a 30.5 % total body surface area burn. The patient received standard topical antimicrobial therapy and the majority of his burn wound healed. While undergoing therapy, multiple tooth extractions were recommended. On postburn day 25 the patient underwent multiple tooth extractions plus excision and grafting of his unhealed burn after preoperative infusion of cryoprecipitate. Despite a maximum factor VIII concentration of only 23%, no remarkable bleeding occurred from the excision sites, the skin graft donor site, or the tooth extraction wounds. Preoperative infusion of cryoprecipitate does not appear to be required for split-thickness skin graft harvest or excision of burns within the dermis.

Original languageEnglish (US)
Pages (from-to)389-390
Number of pages2
JournalJournal of Burn Care and Rehabilitation
Volume9
Issue number4
DOIs
StatePublished - Jul 1988

ASJC Scopus subject areas

  • Surgery
  • Nursing(all)
  • Emergency Medicine
  • Rehabilitation
  • Health Professions(all)

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