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A case of concurrent proteus syndrome and hemophilia a.
[proteus syndrome]
Proteus
syndrome
is
a
very
rare
condition
with
less
than
100
confirmed
cases
reported
worldwide
.
We
report
a
case
of
Proteus
syndrome
in
a
two
-
year
-old
male
who
has
hemophilia
A
comorbidity
.
A
two
-
year
-old
male
patient
was
admitted
with
the
chief
complaint
of
severe
bleeding
in
mouth
cavity
after
trauma
for
two
weeks
.
At
admission
he
was
found
to
have
petechiae
on
buccal
mucosa
and
fecal
discoloration
due
to
GI
bleeding
.
We
noted
multiple
abnormalities
in
his
musculoskeletal
system
and
skin
.
He
had
lymph
edema
in
left
leg
,
hemihypertrophy
,
macrodactyly
in
both
foots
and
macrocephaly
.
With
the
history
of
severe
bleeding
and
recurrent
blood
product
transfusion
,
we
suspected
a
hemorrhagic
disorder
.
The
reduced
level
of
Factor
VIII
activity
confirmed
the
diagnosis
of
hemophilia
A
.
Considering
patient
's
various
musculoskeletal
abnormalities
according
to
the
diagnostic
criteria
and
after
ruling
out
similar
disorders
the
diagnosis
of
Proteus
syndrome
was
established
.
Because
of
the
variability
of
clinical
features
,
Proteus
syndrome
can
be
confused
with
other
disorders
of
multiple
tissue
overgrowth
.
Our
case
of
Proteus
syndrome
,
who
had
hemophilia
A
comorbidity
outlines
the
challenges
in
diagnosis
of
such
rare
combination
of
diseases
.