Successful autologous skin grafting in a patient of severe Haemophilia

Abstract

In haemophilia-A patients, if the plasma concentration of factor VIII could be maintained at an optimum level, an open wound can be easily covered with split-thickness skin grafting without any significant bleeding or complication. Removing a split-thickness layer of skin should cause no more difficulty than in a normal individual. This can be attributed to normal bleeding time, prothrombin time, clot retraction and platelet count found in such patients. Skin grafting over non-healing raw areas in haemophiliac patients can significantly decrease the morbidity and length of hospitalization required, thereby, decreasing health expenditure. We present a case report of a haemophilia-A patient having raw area over lower limb, which was managed successfully by skin grafting.

Keywords

• Factor VIII
• haemophilia
• skin grafting