Acquired factor VIII inhibitor in a non-haemophilic boy

Haemophilia. 2003 Sep;9(5):642-5. doi: 10.1046/j.1365-2516.2003.00797.x.

Abstract

We describe the case of a previously healthy 8-year-old non-haemophilic boy who developed a factor VIII inhibitor of unknown origin. The symptoms of this disease were haemorrhages in the muscles of the right thigh, numerous bruises and a large haematoma of the right crus with subsequent tissue necrosis. Activated and non-activated prothrombin complex concentrates were administered in the therapy of the haemorrhages. To eliminate factor VIII inhibitor, the patient was treated first with prednisone, then immunoglobulin G and finally with a combination of prednisone and cycylophosphamide, without any effect. A total spontaneous remission was observed after 15 months from the beginning of the disease.

Publication types

  • Case Reports

MeSH terms

  • Blood Coagulation Factor Inhibitors / blood*
  • Child
  • Factor VIII / antagonists & inhibitors*
  • Hemophilia A / blood*
  • Hemophilia A / complications
  • Hemophilia A / drug therapy
  • Hemorrhage / etiology*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Male
  • Muscular Diseases / etiology

Substances

  • Blood Coagulation Factor Inhibitors
  • Immunosuppressive Agents
  • Factor VIII