Titulo:

Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
.

Sumario:

La hemofilia adquirida A es una enfermedad autoinmune rara caracterizada por la presencia de autoanticuerpos contra el factor VIII de la coagulación; se manifiesta clínicamente como un síndrome hemorrágico, principalmente mucocutáneo, subcutáneo y en tejidos blandos. La etiología es idiopática en la mayoría de los casos; sin embargo, en los pacientes con patologías asociadas, las más frecuentes son enfermedades del colágeno, tumores sólidos, puerperio, tumores hematolinfoides y medicamentos. Está asociada con una morbilidad y mortalidad significativas, fundamentalmente en los pacientes de mayor edad. Describimos el caso de una mujer de 90 años, que debutó con sangrado subcutáneo severo asociado a prolongación del aPTT. En el abordaje diagnó... Ver más

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Claudia Sossa Melo - 2012

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spelling Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
Acquired haemophilia A : case report and literature review.
La hemofilia adquirida A es una enfermedad autoinmune rara caracterizada por la presencia de autoanticuerpos contra el factor VIII de la coagulación; se manifiesta clínicamente como un síndrome hemorrágico, principalmente mucocutáneo, subcutáneo y en tejidos blandos. La etiología es idiopática en la mayoría de los casos; sin embargo, en los pacientes con patologías asociadas, las más frecuentes son enfermedades del colágeno, tumores sólidos, puerperio, tumores hematolinfoides y medicamentos. Está asociada con una morbilidad y mortalidad significativas, fundamentalmente en los pacientes de mayor edad. Describimos el caso de una mujer de 90 años, que debutó con sangrado subcutáneo severo asociado a prolongación del aPTT. En el abordaje diagnóstico, se encontró una actividad del factor VIII marcadamente disminuida y niveles de inhibidores contra el factor VIII elevados (120 BU/ml), sin antecedente previo de trastornos de la coagulación. Se inició tratamiento con corticoides y se adicionó posteriormente ciclofosfamida, logrando disminuir los títulos del inhibidor y acortar el aPTT; no obstante, la paciente falleció a las tres semanas debido a un ataque cerebro-vascular isquémico no relacionado con el tratamiento instaurado.
Acquired haemophilia A (AHA) is a very rare autoimmune disease characterized by presence of autoantibodies to circulating factor VIII; it manifests clinically as a hemorrhagic syndrome, especially with mucocutaneous, subcutaneous and soft tissues bleeding. Etiology is idiopathic in most cases; the other possible etiologies include collagen diseases, solid tumors, postpartum, hematolymphoid malignancies and drugs. Mortality depends on age, being majority of deaths in elderly people. We described a 93-years-old women presenting with a severe subcutaneous bleeding showing a prolonged partial thromboplastin time. In the diagnostic approach we found a diminished factor VIII-activity and high inhibitor titer (120 Bethesda units/ml) without a previous history of coagulation disorders. We initiated treatment with corticosteroids and then we added cyclophosphamide to achieve a reduction in the inhibitor titers and short the aPTT, however, patient died after three weeks due to an ischemic stroke unrelated to the prescribed treatment.
Sossa, Claudia
Jiménez, Sara
Peña, Ángela
Salazar, Luis
Castellanos, William
Gelves, Julián
hemofilia adquirida A
autoanticuerpos
factor VIII
unidades Bethesda
corticosteroides
ciclofosfamida
factor VII recombinante activado
acquired haemophilia A
autoantibodies
factor VIII
Bethesda units
corticosteroids
cyclophosphamide
recombinant activated factor VII
1
3
Núm. 3 , Año 2012 : Septiembre
Artículo de revista
Journal article
2012-09-01T00:00:00Z
2012-09-01T00:00:00Z
2012-09-01
application/pdf
Asociación Colombiana de Hematología y Oncología (ACHO)
Revista Colombiana de Hematología y Oncología
2256-2877
2256-2915
https://revista.acho.info/index.php/acho/article/view/316
10.51643/22562915.316
https://doi.org/10.51643/22562915.316
spa
https://creativecommons.org/licenses/by-nc-sa/4.0
Claudia Sossa Melo - 2012
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
73
80
Knoebl P, Marco P, Baudo F, Collins P, Huth-Kühne A, Nemes L, et al. Demographic and clinical data in acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2). J Thromb Haemost. 2012;10(4):622-31.
Keeling D, Mackie I, Moore GW, Greer IA, Greaves M, British Committee for Standards in Haematology. Guidelines on the investigation and management of antiphospholipid syndrome. Br J Haematol. 2012 Feb 8. doi: 10.1111/j.1365- 2141.2012.09037.x. [Epub ahead of print].
Webert KE. Acquired Hemophilia A. Semin Thromb Hemost. 2012 Sep 1. [Epub ahead of print].
Franchini M, Gandini G, Di Paolantonio T, Mariani G. Acquired hemophilia A: a concise review. Am J Hematol. 2005;80(1):55-63.
Ma AD, Carrizosa D. Acquired factor VIII inhibitors: pathophysiology and treatment. Hematology Am Soc Hematol Educ Program. 2006:432-7.
Collins PW. Management of acquired haemophilia A. J Thromb Haemost. 2011;9 Suppl 1:226-35.
Tufano A, Coppola A, Guida A, Cimino E, De Gregorio AM, Cerbone AM, et al. Acquired haemophilia a in the elderly: case reports. Curr Gerontol Geriatr Res. 2010;2010:927503.
Sossa C, Jiménez S. Inhibidores contra los factores de la coagulación adquiridos espontáneamente: hemofilia B adquirida. Medunab. 2003;6(16):36-8.
Huth-Kühne A, Baudo F, Collins P, Ingerslev J, Kessler CM, Lévesque H, et al. International recommendations on the diagnosis and treatment of patients with acquired hemophilia A. Haematologica. 2009;94(4):566-75.
Tengborn L, Baudo F, Huth-Kühne A, Knoebl P, Lévesque H, Marco P, et al. Pregnancy-associated acquired haemophilia A: results from the European Acquired Haemophilia (EACH2) registry. BJOG. 2012 Aug 20. doi: 10.1111/j.1471-0528.2012.03469.x. [Epub ahead of print].
Franchini M. Postpartum acquired factor VIII inhibitors. Am J Hematol. 2006;81(10):768-73.
Baudo F, Caimi T, de Cataldo F. Diagnosis and treatment of acquired haemophilia. Haemophilia. 2010;16(102):102-6.
Collins P, Baudo F, Huth-Kühne A, Ingerslev J, Kessler CM, Castellano ME, et al. Consensus recommendations for the diagnosis and treatment of acquired hemophilia A. BMC Res Notes. 2010;3:161.
Baudo F, Collins P, Huth-Kühne A, Lévesque H, Marco P, Nemes L, et al. Management of bleeding in acquired hemophilia A: results from the European Acquired Haemophilia (EACH2) Registry. Blood. 2012;120(1):39-46.
Delgado J, Jimenez-Yuste V, Hernandez-Navarro F, Villar A. Acquired haemophilia: review and meta-analysis focused on therapy and prognostic factors. Br J Haematol. 2003;121(1):21-35.
Coppola A, Favaloro EJ, Tufano A, Di Minno MN, Cerbone AM, Franchini M. Acquired inhibitors of coagulation factors: part I-acquired hemophilia A. Semin Thromb Hemost. 2012;38(5):433-46.
Aouba A, Rey G, Pavillon G, Jougla E, Rothschild C, Torchet MF, et al. Deaths associated with acquired haemophilia in France from 2000 to 2009: multiple cause analysis for best care strategies. Haemophilia. 2012;18(3):339-44.
Franchini M, Targher G, Montagnana M, Lippi G. Laboratory, clinical and therapeutic aspects of acquired hemophilia A. Clin Chim Acta. 2008;395(1-2):14-8.
Kitchen S, McCraw A. Diagnóstico de la hemofilia y otros trastornos de la coagulación: manual de laboratorio. 2a ed. Montreal: Federación Mundial de Hemofilia; 2010.
Bowyer A, Smith J, Woolley AM, Kitchen S, Hampton KK, Maclean RM, et al. The investigation of a prolonged APTT with specific clotting factor assays is unnecessary if an APTT with Actin FS is normal. Int J Lab Hematol. 2011;33(2):212-8.
Field JJ, Fenske TS, Blinder MA. Rituximab for the treatment of patients with very high-titre acquired factor VIII inhibitors refractory to conventional chemotherapy. Haemophilia. 2007;13(1):46-50.
Collins PW, Percy CL. Advances in the understanding of acquired haemophilia A: implications for clinical practice. Br J Haematol. 2010;148(2):183-94.
Collins PW, Hirsch S, Baglin TP, Dolan G, Hanley J, Makris M, et al. Acquired hemophilia A in the United Kingdom: a 2-year national surveillance study by the United Kingdom Haemophilia Centre Doctors’ Organisation. Blood. 2007;109(5):1870-7.
Hoffman M, Dargaud Y. Mechanisms and monitoring of bypassing agent therapy. J Thromb Haemost. 2012;10(8):1478-85.
Hay CR, Negrier C, Ludlam CA. The treatment of bleeding in acquired haemophilia with recombinant factor VIIa: a multicentre study. Thromb Haemost. 1997;78(6):1463-7.
Baudo F, de Cataldo F, Gaidano G; Italian registry of acquired hemophilia. Treatment of acquired factor VIII inhibitor with recombinant activated factor VIIa: data from the Italian registry of acquired hemophilia. Haematologica. 2004;89(6):759-61.
Sumner MJ, Geldziler BD, Pedersen M, Seremetis S. Treatment of acquired haemophilia with recombinant activated FVII: a critical appraisal. Haemophilia. 2007;13(5):451-61.
Abshire T, Kenet G. Recombinant factor VIIa: review of efficacy, dosing regimens and safety in patients with congenital and acquired factor VIII or IX inhibitors. J Thromb Haemost. 2004;2(6):899-909.
Cromwell C, Aledort LM. FEIBA: a prohemostatic agent. Semin Thromb Hemost. 2012;38(3):265-7.
Holme PA, Brosstad F, Tjonnfjord GE. Acquired haemophilia: management of bleeds and immune therapy to eradicate autoantibodies. Haemophilia. 2005;11(5):510-5.
Holmström M, Tran HT, Holme PA. Combined treatment with APCC (FEIBA®) and tranexamic acid in patients with haemophilia A with inhibitors and in patients with acquired haemophilia A--a two-centre experience. Haemophilia. 2012;18(4):544-9.
Kasper CK. Human factor VIII for bleeding in patients with inhibitors. Vox Sang. 1999;77 Suppl 1:47-8.
Morrison AE, Ludlam CA, Kessler C. Use of porcine factor VIII in the treatment of patients with acquired hemophilia. Blood. 1993;81(6):1513-20.
Franchini M, Lippi G. The use of desmopressin in acquired haemophilia A: a systematic review. Blood Transfus. 2011;9(4):377-82.
Hay CR, Brown S, Collins PW, Keeling DM, Liesner R. The diagnosis and management of factor VIII and IX inhibitors: a guideline from the United Kingdom Haemophilia Centre Doctors Organisation. Br J Haematol. 2006;133(6):591-605.
Green D, Rademaker AW, Briët E. A prospective, randomized trial of prednisone and cyclophosphamide in the treatment of patients with factor VIII autoantibodies. Thromb Haemost. 1993;70(5):753-7.
Collins P, Baudo F, Knoebl P, Lévesque H, Nemes L, Pellegrini F, et al. Immunosuppression for acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2). Blood. 2012;120(1):47-55.
Crenier L, Ducobu J, des Grottes JM, Cerny J, Delaunoit C, Capel P. Low response to high-dose intravenous immunoglobulin in the treatment of acquired factor VIII inhibitor. Br J Haematol. 1996;95(4):750-3.
Boles JC, Key NS, Kasthuri R, Ma AD. Single-center experience with rituximab as first-line immunosuppression for acquired hemophilia. J Thromb Haemost. 2011;9(7):1429-31.
Pardos-Gea J, Altisent C, Parra R, Vilardell-Tarres M, Ordi-Ros J. Acquired haemophilia A. First line treatment with calcineurin inhibitors and steroid pulses: a 10-year follow-up study. Haemophilia. 2012;18(5):789-93.
Lian EC, Villar MJ, Noy LI, Ruiz-Dayao Z. Acquired factor VIII inhibitor treated with cyclophosphamide, vincristine, and prednisone. Am J Hematol. 2002;69(4):294-5.
Green D, Lechner K. A survey of 215 non-hemophilic patients with inhibitors to Factor VIII. Thromb Haemost. 1981;45(3):200-3.
Katgi A, Ataca P, Kahraman S, Piskin O, Ozcan MA, Demirkan F, et al. Ischemic stroke after recombinant factor VIIa treatment in acquired hemophilia A patient. Blood Coagul Fibrinolysis. 2012;23(1):69-70.
O’Connell KA, Wood JJ, Wise RP, Lozier JN, Braun MM. Thromboembolic adverse events after use of recombinant human coagulation factor VIIa. JAMA. 2006;295(3):293-8.
https://revista.acho.info/index.php/acho/article/download/316/283
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institution ASOCIACION COLOMBIANA DE HEMATOLOGIA Y ONCOLOGIA
thumbnail https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADEHEMATOLOGIAYONCOLOGIA/logo.png
country_str Colombia
collection Revista Colombiana de Hematología y Oncología
title Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
spellingShingle Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
Sossa, Claudia
Jiménez, Sara
Peña, Ángela
Salazar, Luis
Castellanos, William
Gelves, Julián
hemofilia adquirida A
autoanticuerpos
factor VIII
unidades Bethesda
corticosteroides
ciclofosfamida
factor VII recombinante activado
acquired haemophilia A
autoantibodies
factor VIII
Bethesda units
corticosteroids
cyclophosphamide
recombinant activated factor VII
title_short Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
title_full Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
title_fullStr Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
title_full_unstemmed Hemofilia A adquirida : reporte de un caso y revisión de la literatura.
title_sort hemofilia a adquirida : reporte de un caso y revisión de la literatura.
title_eng Acquired haemophilia A : case report and literature review.
description La hemofilia adquirida A es una enfermedad autoinmune rara caracterizada por la presencia de autoanticuerpos contra el factor VIII de la coagulación; se manifiesta clínicamente como un síndrome hemorrágico, principalmente mucocutáneo, subcutáneo y en tejidos blandos. La etiología es idiopática en la mayoría de los casos; sin embargo, en los pacientes con patologías asociadas, las más frecuentes son enfermedades del colágeno, tumores sólidos, puerperio, tumores hematolinfoides y medicamentos. Está asociada con una morbilidad y mortalidad significativas, fundamentalmente en los pacientes de mayor edad. Describimos el caso de una mujer de 90 años, que debutó con sangrado subcutáneo severo asociado a prolongación del aPTT. En el abordaje diagnóstico, se encontró una actividad del factor VIII marcadamente disminuida y niveles de inhibidores contra el factor VIII elevados (120 BU/ml), sin antecedente previo de trastornos de la coagulación. Se inició tratamiento con corticoides y se adicionó posteriormente ciclofosfamida, logrando disminuir los títulos del inhibidor y acortar el aPTT; no obstante, la paciente falleció a las tres semanas debido a un ataque cerebro-vascular isquémico no relacionado con el tratamiento instaurado.
description_eng Acquired haemophilia A (AHA) is a very rare autoimmune disease characterized by presence of autoantibodies to circulating factor VIII; it manifests clinically as a hemorrhagic syndrome, especially with mucocutaneous, subcutaneous and soft tissues bleeding. Etiology is idiopathic in most cases; the other possible etiologies include collagen diseases, solid tumors, postpartum, hematolymphoid malignancies and drugs. Mortality depends on age, being majority of deaths in elderly people. We described a 93-years-old women presenting with a severe subcutaneous bleeding showing a prolonged partial thromboplastin time. In the diagnostic approach we found a diminished factor VIII-activity and high inhibitor titer (120 Bethesda units/ml) without a previous history of coagulation disorders. We initiated treatment with corticosteroids and then we added cyclophosphamide to achieve a reduction in the inhibitor titers and short the aPTT, however, patient died after three weeks due to an ischemic stroke unrelated to the prescribed treatment.
author Sossa, Claudia
Jiménez, Sara
Peña, Ángela
Salazar, Luis
Castellanos, William
Gelves, Julián
author_facet Sossa, Claudia
Jiménez, Sara
Peña, Ángela
Salazar, Luis
Castellanos, William
Gelves, Julián
topicspa_str_mv hemofilia adquirida A
autoanticuerpos
factor VIII
unidades Bethesda
corticosteroides
ciclofosfamida
factor VII recombinante activado
topic hemofilia adquirida A
autoanticuerpos
factor VIII
unidades Bethesda
corticosteroides
ciclofosfamida
factor VII recombinante activado
acquired haemophilia A
autoantibodies
factor VIII
Bethesda units
corticosteroids
cyclophosphamide
recombinant activated factor VII
topic_facet hemofilia adquirida A
autoanticuerpos
factor VIII
unidades Bethesda
corticosteroides
ciclofosfamida
factor VII recombinante activado
acquired haemophilia A
autoantibodies
factor VIII
Bethesda units
corticosteroids
cyclophosphamide
recombinant activated factor VII
citationvolume 1
citationissue 3
citationedition Núm. 3 , Año 2012 : Septiembre
publisher Asociación Colombiana de Hematología y Oncología (ACHO)
ispartofjournal Revista Colombiana de Hematología y Oncología
source https://revista.acho.info/index.php/acho/article/view/316
language spa
format Article
rights https://creativecommons.org/licenses/by-nc-sa/4.0
Claudia Sossa Melo - 2012
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
info:eu-repo/semantics/openAccess
http://purl.org/coar/access_right/c_abf2
references Knoebl P, Marco P, Baudo F, Collins P, Huth-Kühne A, Nemes L, et al. Demographic and clinical data in acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2). J Thromb Haemost. 2012;10(4):622-31.
Keeling D, Mackie I, Moore GW, Greer IA, Greaves M, British Committee for Standards in Haematology. Guidelines on the investigation and management of antiphospholipid syndrome. Br J Haematol. 2012 Feb 8. doi: 10.1111/j.1365- 2141.2012.09037.x. [Epub ahead of print].
Webert KE. Acquired Hemophilia A. Semin Thromb Hemost. 2012 Sep 1. [Epub ahead of print].
Franchini M, Gandini G, Di Paolantonio T, Mariani G. Acquired hemophilia A: a concise review. Am J Hematol. 2005;80(1):55-63.
Ma AD, Carrizosa D. Acquired factor VIII inhibitors: pathophysiology and treatment. Hematology Am Soc Hematol Educ Program. 2006:432-7.
Collins PW. Management of acquired haemophilia A. J Thromb Haemost. 2011;9 Suppl 1:226-35.
Tufano A, Coppola A, Guida A, Cimino E, De Gregorio AM, Cerbone AM, et al. Acquired haemophilia a in the elderly: case reports. Curr Gerontol Geriatr Res. 2010;2010:927503.
Sossa C, Jiménez S. Inhibidores contra los factores de la coagulación adquiridos espontáneamente: hemofilia B adquirida. Medunab. 2003;6(16):36-8.
Huth-Kühne A, Baudo F, Collins P, Ingerslev J, Kessler CM, Lévesque H, et al. International recommendations on the diagnosis and treatment of patients with acquired hemophilia A. Haematologica. 2009;94(4):566-75.
Tengborn L, Baudo F, Huth-Kühne A, Knoebl P, Lévesque H, Marco P, et al. Pregnancy-associated acquired haemophilia A: results from the European Acquired Haemophilia (EACH2) registry. BJOG. 2012 Aug 20. doi: 10.1111/j.1471-0528.2012.03469.x. [Epub ahead of print].
Franchini M. Postpartum acquired factor VIII inhibitors. Am J Hematol. 2006;81(10):768-73.
Baudo F, Caimi T, de Cataldo F. Diagnosis and treatment of acquired haemophilia. Haemophilia. 2010;16(102):102-6.
Collins P, Baudo F, Huth-Kühne A, Ingerslev J, Kessler CM, Castellano ME, et al. Consensus recommendations for the diagnosis and treatment of acquired hemophilia A. BMC Res Notes. 2010;3:161.
Baudo F, Collins P, Huth-Kühne A, Lévesque H, Marco P, Nemes L, et al. Management of bleeding in acquired hemophilia A: results from the European Acquired Haemophilia (EACH2) Registry. Blood. 2012;120(1):39-46.
Delgado J, Jimenez-Yuste V, Hernandez-Navarro F, Villar A. Acquired haemophilia: review and meta-analysis focused on therapy and prognostic factors. Br J Haematol. 2003;121(1):21-35.
Coppola A, Favaloro EJ, Tufano A, Di Minno MN, Cerbone AM, Franchini M. Acquired inhibitors of coagulation factors: part I-acquired hemophilia A. Semin Thromb Hemost. 2012;38(5):433-46.
Aouba A, Rey G, Pavillon G, Jougla E, Rothschild C, Torchet MF, et al. Deaths associated with acquired haemophilia in France from 2000 to 2009: multiple cause analysis for best care strategies. Haemophilia. 2012;18(3):339-44.
Franchini M, Targher G, Montagnana M, Lippi G. Laboratory, clinical and therapeutic aspects of acquired hemophilia A. Clin Chim Acta. 2008;395(1-2):14-8.
Kitchen S, McCraw A. Diagnóstico de la hemofilia y otros trastornos de la coagulación: manual de laboratorio. 2a ed. Montreal: Federación Mundial de Hemofilia; 2010.
Bowyer A, Smith J, Woolley AM, Kitchen S, Hampton KK, Maclean RM, et al. The investigation of a prolonged APTT with specific clotting factor assays is unnecessary if an APTT with Actin FS is normal. Int J Lab Hematol. 2011;33(2):212-8.
Field JJ, Fenske TS, Blinder MA. Rituximab for the treatment of patients with very high-titre acquired factor VIII inhibitors refractory to conventional chemotherapy. Haemophilia. 2007;13(1):46-50.
Collins PW, Percy CL. Advances in the understanding of acquired haemophilia A: implications for clinical practice. Br J Haematol. 2010;148(2):183-94.
Collins PW, Hirsch S, Baglin TP, Dolan G, Hanley J, Makris M, et al. Acquired hemophilia A in the United Kingdom: a 2-year national surveillance study by the United Kingdom Haemophilia Centre Doctors’ Organisation. Blood. 2007;109(5):1870-7.
Hoffman M, Dargaud Y. Mechanisms and monitoring of bypassing agent therapy. J Thromb Haemost. 2012;10(8):1478-85.
Hay CR, Negrier C, Ludlam CA. The treatment of bleeding in acquired haemophilia with recombinant factor VIIa: a multicentre study. Thromb Haemost. 1997;78(6):1463-7.
Baudo F, de Cataldo F, Gaidano G; Italian registry of acquired hemophilia. Treatment of acquired factor VIII inhibitor with recombinant activated factor VIIa: data from the Italian registry of acquired hemophilia. Haematologica. 2004;89(6):759-61.
Sumner MJ, Geldziler BD, Pedersen M, Seremetis S. Treatment of acquired haemophilia with recombinant activated FVII: a critical appraisal. Haemophilia. 2007;13(5):451-61.
Abshire T, Kenet G. Recombinant factor VIIa: review of efficacy, dosing regimens and safety in patients with congenital and acquired factor VIII or IX inhibitors. J Thromb Haemost. 2004;2(6):899-909.
Cromwell C, Aledort LM. FEIBA: a prohemostatic agent. Semin Thromb Hemost. 2012;38(3):265-7.
Holme PA, Brosstad F, Tjonnfjord GE. Acquired haemophilia: management of bleeds and immune therapy to eradicate autoantibodies. Haemophilia. 2005;11(5):510-5.
Holmström M, Tran HT, Holme PA. Combined treatment with APCC (FEIBA®) and tranexamic acid in patients with haemophilia A with inhibitors and in patients with acquired haemophilia A--a two-centre experience. Haemophilia. 2012;18(4):544-9.
Kasper CK. Human factor VIII for bleeding in patients with inhibitors. Vox Sang. 1999;77 Suppl 1:47-8.
Morrison AE, Ludlam CA, Kessler C. Use of porcine factor VIII in the treatment of patients with acquired hemophilia. Blood. 1993;81(6):1513-20.
Franchini M, Lippi G. The use of desmopressin in acquired haemophilia A: a systematic review. Blood Transfus. 2011;9(4):377-82.
Hay CR, Brown S, Collins PW, Keeling DM, Liesner R. The diagnosis and management of factor VIII and IX inhibitors: a guideline from the United Kingdom Haemophilia Centre Doctors Organisation. Br J Haematol. 2006;133(6):591-605.
Green D, Rademaker AW, Briët E. A prospective, randomized trial of prednisone and cyclophosphamide in the treatment of patients with factor VIII autoantibodies. Thromb Haemost. 1993;70(5):753-7.
Collins P, Baudo F, Knoebl P, Lévesque H, Nemes L, Pellegrini F, et al. Immunosuppression for acquired hemophilia A: results from the European Acquired Haemophilia Registry (EACH2). Blood. 2012;120(1):47-55.
Crenier L, Ducobu J, des Grottes JM, Cerny J, Delaunoit C, Capel P. Low response to high-dose intravenous immunoglobulin in the treatment of acquired factor VIII inhibitor. Br J Haematol. 1996;95(4):750-3.
Boles JC, Key NS, Kasthuri R, Ma AD. Single-center experience with rituximab as first-line immunosuppression for acquired hemophilia. J Thromb Haemost. 2011;9(7):1429-31.
Pardos-Gea J, Altisent C, Parra R, Vilardell-Tarres M, Ordi-Ros J. Acquired haemophilia A. First line treatment with calcineurin inhibitors and steroid pulses: a 10-year follow-up study. Haemophilia. 2012;18(5):789-93.
Lian EC, Villar MJ, Noy LI, Ruiz-Dayao Z. Acquired factor VIII inhibitor treated with cyclophosphamide, vincristine, and prednisone. Am J Hematol. 2002;69(4):294-5.
Green D, Lechner K. A survey of 215 non-hemophilic patients with inhibitors to Factor VIII. Thromb Haemost. 1981;45(3):200-3.
Katgi A, Ataca P, Kahraman S, Piskin O, Ozcan MA, Demirkan F, et al. Ischemic stroke after recombinant factor VIIa treatment in acquired hemophilia A patient. Blood Coagul Fibrinolysis. 2012;23(1):69-70.
O’Connell KA, Wood JJ, Wise RP, Lozier JN, Braun MM. Thromboembolic adverse events after use of recombinant human coagulation factor VIIa. JAMA. 2006;295(3):293-8.
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date_available 2012-09-01T00:00:00Z
url https://revista.acho.info/index.php/acho/article/view/316
url_doi https://doi.org/10.51643/22562915.316
issn 2256-2877
eissn 2256-2915
doi 10.51643/22562915.316
citationstartpage 73
citationendpage 80
url2_str_mv https://revista.acho.info/index.php/acho/article/download/316/283
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