A spontaneous bleeding of uncertain origin

Authors

  • Ana Elvira-Laffond Servicio de Cardiología. Complejo Asistencial Universitario de Salamanca. Salamanca. España https://orcid.org/0000-0002-1553-5652
  • David González-Calle Servicio de Cardiología. Complejo Asistencial Universitario de Salamanca. Salamanca. España
  • Miguel Hernández-Hidalgo Servicio de Cardiología. Complejo Asistencial Universitario de Salamanca. Salamanca. España
  • Ángel Víctor Hernández-Martos Servicio de Cardiología. Complejo Asistencial Universitario de Salamanca. Salamanca. España
  • María Sánchez Ledesma Servicio de Medicina Interna. Complejo Asistencial Universitario de Salamanca. Salamanca. España

DOI:

https://doi.org/10.32818/reccmi.a5n2a7

Keywords:

hemophilia A, factor VIII, hemorrhagic disorders, autoantibodies.

Abstract

Acquired hemophilia A is a rare disease caused by autoantibodies targeting coagulation factor VIII. It should be suspected in case of spontaneous bleeding and extended aPTT. We present an 85-year-old male patient with retroperitoneal hematoma and prolonged aPTT. Factor VIII activity is determined, which is significantly reduced. The patient begins treatment, with excellent clinical response. This is an illustrative
example of this unknown disease, which may provide its better understanding and management of these patients.

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References

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Collins P, Baudo F, Huth-Kuhne A, et al. Consensus recommendations for the diagnosis and treatment of acquired hemophilia A. BMC Res Notes 2010;3:161.

Huth-Kuhne A, Baudo F, Collins P, et al. International recommendations on the diagnosis and treatment of patients with acquired haemophilia A. Haematologica. 2009; 94:566-75.

Kessler CM, Knöbl P. Acquired haemophilia: an overview for clinical practice. Eur J Haematol. 2015 Dec. 95 Suppl 81:36-44.

Published

2020-08-31

How to Cite

1.
Elvira-Laffond A, González-Calle D, Hernández-Hidalgo M, Hernández-Martos Ángel V, Sánchez Ledesma M. A spontaneous bleeding of uncertain origin. Rev Esp Casos Clin Med Intern [Internet]. 2020 Aug. 31 [cited 2024 Dec. 26];5(2):74-7. Available from: https://www.reccmi.com/RECCMI/article/view/517

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