Hemophilia is a rare inherited
bleeding disorder. The most common manifestation of
hemophilia is hemorrage and it can occur at any site of the body.
Chronic renal failure results from a variety of systemic disorders and its
incidence is now increasing. Until now,
chronic renal failure in
hemophilia was rare and there was no reported case of
hemodialysis or
peritoneal dialysis in
hemophilia patient in
korea. The modality of
dialysis for hemophiliac end stage renal
patients is a difficult choice because hemophiliac
patients always have the
risk of
bleeding. We have experienced one case of
end stage renal disease developed in a
patient with
hemophilia A. He first got
continuous ambulatory peritoneal dialysis for 2 years and then switched to
hemodialysis because of recurrent peritoneal
infection. While getting
peritoneal dialysis, there was no intraperitoneal or retroperitoneal
hemorrhage episode. Now he gets
hemodialysis through Perm
catheter. During
hemodialysis, he has no
bleeding complication without any
factor VIII supplement.