No Petechiae Or Bruising in Pediatrics — Case | Pediatric Heme/Onc | SMLE Q#12398

SMLE Question #12398

Pediatrics Pediatric Heme/Onc

Objective: OBJ-153

Last updated: February 2026
A full-term male newborn has persistent oozing from a circumcision site for 6 hours despite pressure dressing. Pregnancy and delivery were uncomplicated, and vitamin K was administered at birth. He is feeding well and appears well perfused with no petechiae or bruising. His mother reports lifelong heavy menstrual bleeding and prolonged bleeding after dental extraction. A sibling previously had prolonged bleeding after minor surgery. There is no family history of recurrent joint swelling or deep muscle hematomas. What is the most likely diagnosis?

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