A newborn baby presented with profuse bleeding from the umblical stump after bih.Rest of the examination and PT,APTT are within normal limits.Most likely diagnosis is which of the following:
Presence of normal PT, and APTT rules oot the presence of any clotting factor deficiency . So options like factor X deficiency and von willibrand disease are ruled out.clinically both Glanzmann thrombasthenia and Bernard soulier syndrome are indistinguishable.however most of hematologists agreed on placing glanzmann throbasthenia in preference to bernard soulier syndrome as the answer. We got an aicle suppoing the increased prevalance of glanzmann to soulier in western india as well.(ref Robbins 8th/Wintrobes 12th /1365-1370)
Factor X deficiency
Glanzmanns thrombasthenia
Von willevrand disease
Bernard soulier disease
Haematology