Acquired Hemophilia A Presenting as Intramuscular Hematoma

Autor: Ghassan Al-Shbool MD, Anusha Vakiti MD
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Investigative Medicine High Impact Case Reports, Vol 6 (2018)
Druh dokumentu: article
ISSN: 2324-7096
23247096
DOI: 10.1177/2324709618817572
Popis: Acquired hemophilia A poses a clinical and diagnostic challenge. Although rare, it is still the most common acquired factor deficiency. We present a case of acquired hemophilia A diagnosed in a 71-year-old female who presented with a right thigh hematoma of acute onset. The diagnosis was established based on the coagulation profile along with factor VIII levels, mixing studies, and inhibitor levels. The patient received multiple lines of therapy including steroids, factor VIIa, Obizur (porcine-derived recombinant factor VIII), followed by multiple cycles of chemotherapy including cyclophosphamide and rituximab.
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