Use of prothrombin complex concentrates in the treatment of a hemophilic patient with an inhibitor of factor VIII.

Abstract:

:The course and treatment of a life-threatening hemorrhagic episode in a patient with hemophilia A whose plasma contained a high concentration of an inhibitor of factor VIII activity is presented. The inhibitor of factor VIII was localized to the most anodal fractions of immunoglobulin G on electrophoresis, and was thus presumed to be an antibody directed against factor VIII. No therapeutic benefit occurred with infusions of massive amounts of fresh blood and factor VIII concentrates, or with a brief course of immunosuppressive therapy. Administration of standard and activated prothrombin complex concentrates resulted in reduction of the partial thromboplastin time to almost normal values and control of hemorrhage. Eight months later, another hemorrhagic episode occurred. Although a higher titer of inhibitor of factor VIII activity was still present in the patient's plasma, a beneficial therapeutic response was again achieved with standard prothrombin complex infusions.

journal_name

Blood

journal_title

Blood

authors

Sonoda T,Solomon A,Krauss S,Cruz P,Jones FS,Levin J

subject

Has Abstract

pub_date

1976-06-01 00:00:00

pages

983-9

issue

6

eissn

0006-4971

issn

1528-0020

journal_volume

47

pub_type

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