open access
Obesity in a hemophilia patient — a case report
open access
Abstract
Hemophilia is a congenital bleeding disorder caused by deficiency of a blood coagulation factor; factor VIII in hemophilia A and factor IX in hemophilia B. Hemophilia manifests with spontaneous bleeding into joints and major bleeding following injury and surgery. Hemophilia patients require comprehensive care and team management to maintain satisfactory physical condition and control over dietary recommendations, particularly in the presence of coexisting disorders. Such management aims at maintenance of the patient’s physical fitness, with special
emphasis on healthy diet.
Our patient was diagnosed with type 2 diabetes with high morning blood glucose levels [115–130 mg/dl (N 80–99)]. The disease occurs mostly in the fourth decade of life or later. It is accompanied by lipid disorders which become more intense if dietary advice is disregarded and nutrition errors are made (excessive consumption of animal fats, dietary deficiency of antioxidants, smoking, improper food preparation). This is said to have strong atherogenic impact and may lead to atherosclerosis and cardiovascular disease, as well as higher risk of diabetic nephropathy, retinopathy and neuropathy.
Abstract
Hemophilia is a congenital bleeding disorder caused by deficiency of a blood coagulation factor; factor VIII in hemophilia A and factor IX in hemophilia B. Hemophilia manifests with spontaneous bleeding into joints and major bleeding following injury and surgery. Hemophilia patients require comprehensive care and team management to maintain satisfactory physical condition and control over dietary recommendations, particularly in the presence of coexisting disorders. Such management aims at maintenance of the patient’s physical fitness, with special
emphasis on healthy diet.
Our patient was diagnosed with type 2 diabetes with high morning blood glucose levels [115–130 mg/dl (N 80–99)]. The disease occurs mostly in the fourth decade of life or later. It is accompanied by lipid disorders which become more intense if dietary advice is disregarded and nutrition errors are made (excessive consumption of animal fats, dietary deficiency of antioxidants, smoking, improper food preparation). This is said to have strong atherogenic impact and may lead to atherosclerosis and cardiovascular disease, as well as higher risk of diabetic nephropathy, retinopathy and neuropathy.
Keywords
hemophilia B; type 2 diabetes; hyperlipidemia; dietary recommendations; rehabilitation
About this articleTitle
Obesity in a hemophilia patient — a case report
Journal
Journal of Transfusion Medicine
Issue
Article type
Case report
Pages
30-34
Published online
2017-04-04
Bibliographic record
Journal of Transfusion Medicine 2017;10(1):30-34.
Keywords
hemophilia B
type 2 diabetes
hyperlipidemia
dietary recommendations
rehabilitation
Authors
Anna Sikorska
Alicja Woźniak
Agata Lewandowska
Bernadeta Ceglarek
Elżbieta Tatarska
Jerzy Windyga
References (6)- Srivastava A, Brewer AK, Mauser-Bunschoten EP, et al. Treatment Guidelines Working Group on Behalf of The World Federation Of Hemophilia. Guidelines for the management of hemophilia. Haemophilia. 2013; 19(1): e1–47.
- Windyga J. Hemofilie – postępy w diagnostyce i leczeniu. Acta Haematologica Polonica. 2010; 41( 2): 183–199.
- Holstein K, von Mackensen S, Bokemeyer C, et al. The impact of social factors on outcomes in patients with bleeding disorders. Haemophilia. 2016; 22(1): 46–53.
- Majumdar S, Ahmad N, Karlson C, et al. Does weight reduction in haemophilia lead to a decrease in joint bleeds? Haemophilia. 2012; 18(3): e82–e84.
- Soucie JM, Wang C, Siddiqi A, et al. Hemophilia Treatment Center Network. The longitudinal effect of body adiposity on joint mobility in young males with Haemophilia A. Haemophilia. 2011; 17(2): 196–203.
- Sait AS, Kuo A, Bettencourt R, et al. Risk assessment for coronary heart disease in patients with haemophilia: a single centre study in the United States. Haemophilia. 2014; 20(6): 763–770.