D'Souza, I ERao, S D Subba2003-03-272009-05-272003-03-272009-05-272003-03-27D'Souza IE, Rao SD. Late hemorrhagic disease of newborn. Indian Pediatrics. 2003 Mar; 40(3): 226-9http://imsear.searo.who.int/handle/123456789/996512 references.The clinical features of 14 infants diagnosed with late hemorrhagic disease of newborn (LHDN), of which 10 did not receive vitamin K prophylaxis, are presented. All infants were exclusively breast-fed and 12 did not have any underlying illness to explain the abnormal coagulation profile. The common presenting symptoms were seizures (71%), vomiting (57%), poor feeding (50%) and altered sensorium (36%). Physical examination shared pallor in all infants and a bulging anterior fontanel in 64%. Intracranial bleed was the predominant manifestation (93%), with CT scan showing intracranial bleed in 78%. Eight infants (57%) succumbed to their illness, while 36%had neurological sequelae. Since LHDN leads to significant morbidity and mortality, it should be prevented by providing vitamin K prophylaxis to all newborns.engFemaleHemorrhagic Disease of Newborn --diagnosisHumansInfant, NewbornMaleTime FactorsJournal Article