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العنوان
Acquired Hemophilia A:
An Immunologists’ Perspective
المؤلف
Ayoub, Esraa Ahmed Moustafa.
هيئة الاعداد
باحث / اسراء أحمد مصطفى أيوب
مشرف / علاء عفت حسن
مناقش / إيناس صبحي زهران
مناقش / علي محمد الخولي
الموضوع
Hemophilia. Hemophilia - therapy.
تاريخ النشر
2020.
عدد الصفحات
88 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
14/5/2020
مكان الإجازة
جامعة المنوفية - كلية الطب - قسم الباطنة العامة
الفهرس
Only 14 pages are availabe for public view

from 88

from 88

Abstract

Acquired haemophilia is a potentially life threatening bleeding
disorder caused by the development of autoantibodies against
coagulation factor VIII.
 In around half of patients, an underlying disorder is associated with
AHA; the remaining cases are idiopathic.
 AHA presents with bleeding, ranging from mild to life threatening,
in patients with no personal or family bleeding history.
 Diagnosis involves an isolated prolongation of the activated partial
thromboplastin time, without correction in mixing studies, low
FVIII activity levels and evidence of a FVIII inhibitor.
 As AHA is rare, a lack of familiarity of the condition may result in
delayed diagnosis
 Prompt hemostatic control is required to reduce morbidity and
mortality. Bypassing agents (recombinant activated factor VII or
activated prothrombin complex concentrates) can be used to
control acute bleeding
 Immunosuppression is necessary to eradicate the inhibitor.
 Prognosis in AHA depends on presence of comorbidities, on
severity of bleeding and on the time to diagnosis and initiation of
appropriate anti hemorrhagic and immunosuppressive treatment.
 As clinical trials in this rare and heterogeneous disease are difficult,
current evidence comes from observational studies, including
registries.