Diagnostic Dilemma in Postextraction Bleeding

Hemophilia is a disease of blood coagulation inherited as a sex linked recessive. The disorder is attributed to decreased blood levels of procoagulant factor VIII. However, mild forms of the disease with almost inapparent clotting defects have been reported. Patients with hemophilia often give a history of unusual bleeding associated with minor trauma. The disease may however remain undetected without such history. This article describes a case of a 5 years old with no positive history of any bleeding disorder, and the hemophilia remained undetected until the extraction of teeth.