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Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 4239148, 3 pages
https://doi.org/10.1155/2017/4239148
Case Report

Acquired Vitamin K Deficiency as Unusual Cause of Bleeding Tendency in Adults: A Case Report of a Nonhospitalized Student Presenting with Severe Menorrhagia

1Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2Department of Biological Engineering, Massachusetts Institutes of Technology, Cambridge, MA, USA

Correspondence should be addressed to Nader Shakibazad; moc.liamg@dazabikahsn

Received 15 March 2017; Revised 18 June 2017; Accepted 30 July 2017; Published 27 August 2017

Academic Editor: Irene Hoesli

Copyright © 2017 Omid Reza Zekavat et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a rare case of acquired vitamin K deficiency presenting with severe menorrhagia and without any gynecological problem. Partial thromboplastin time (59.2 seconds) and prothrombin time (33.1 seconds, INR: 5.97) were considerably prolonged in laboratory evaluations. A complete coagulation factor assay test was performed for the patient: factor IX, 24%; factor II, 41%; factor VII, 3%; and factor X, 52%. She had been taking many high-energy drinks and she had inadequate dietary intake for the past 6 months. Given that she had vitamin K deficiency (VKD), a course of vitamin K therapy was started for her in the hospital. This case showed the potential for menorrhagia due to VKD with use of high-energy drinks and the value of a complete and detailed history in early diagnosis.