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Urology. 2015 Jun;85(6):1474-6. doi: 10.1016/j.urology.2015.02.026. Epub 2015 Apr 11.

A Rare Case of Neonatal Alloimmune Thrombocytopenia Causing Prolonged Postcircumcision Bleeding.

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Department of Urology, Geisinger Medical Center, Danville, PA. Electronic address:
Department of Urology, Geisinger Medical Center, Danville, PA.


Postcircumcision bleeding can be the presenting symptom of a coagulopathy. A blood dyscrasia that is known but not documented in association with circumcision is neonatal alloimmune thrombocytopenia (NAIT). A 2-day-old male infant presented with postcircumcision bleeding. Platelet count was 5000 per microliter of blood. The child was treated conservatively with hematoma improvement. Few studies exist involving patients with coagulopathies who undergo circumcision. Our patient is the first to present with prolonged postcircumcision bleeding as the initial presentation of NAIT. NAIT and other coagulopathies that present as prolonged postcircumcision bleeding can often be managed successfully with conservative management.

[Indexed for MEDLINE]

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