Atypical spontaneous factor VIII inhibitor: specific diagnostics and therapy of acute bleeding.

Abstract:

:Differentiation of rapidly binding coagulation factor inhibitors from antiphospholipid antibodies is a challenge for the hemostaseologic laboratory, especially with respect to the different therapeutic consequences. Several immunological and functional assays for the diagnosis of these disorders have been proposed. Here we report the clinical and laboratory findings of a 65-year-old man who developed severe bleeding after a tooth extraction. The process leading to the diagnosis of a spontaneous atypical factor VIII inhibitor and the value of different laboratory tests are discussed.

journal_name

Acta Haematol

journal_title

Acta haematologica

authors

Steinbrueckner B,Steigerwald U,Keller F,Ordung R,Neuenroth L,Reuther J,Klinker H,Schwender S

doi

10.1159/000040821

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

102-5

issue

2

eissn

0001-5792

issn

1421-9662

pii

40821

journal_volume

99

pub_type

杂志文章
  • Idiopathic thrombocytopenic purpura in Egyptian children.

    abstract::350 patients with idiopathic thrombocytopenic purpura (ITP) aged 2/12-15 years (mean 6.3 +/- 2.7) were followed up during the period January 1st, 1975 to March 31, 1992. They constituted 40% of cases with hemorrhagic diathesis attending the Hematology/Oncology Clinic, Children's Hospital, Ain Shams University (relativ...

    journal_title:Acta haematologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000204392

    authors: Khalifa AS,Tolba KA,el-Alfy MS,Gadallah M,Ibrahim FH

    更新日期:1993-01-01 00:00:00

  • Tyramide signal amplification: an enhanced method for immunohistochemistry on methyl-methacrylate-embedded bone marrow trephine sections.

    abstract::The detection of cellular antigens in bone marrow sections depends on the method of embedding, the nature of antigen and antibody, antigen retrieval techniques and the sensitivity of the immunohistochemical method. This study evaluated a fluorescyl-tyramide-enhanced immunostaining method on methyl-methacrylate-embedde...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000097458

    authors: Gaiser T,Bernhards J

    更新日期:2007-01-01 00:00:00

  • Transfer of iron-dextran across the placenta.

    abstract::In pregnant mice. 55Fe-labeled iron-dextran (Imferon) is transferred across the placenta. It was detected in the bone marrow, liver, spleen and peripheral blood of the pregnant animal, as well as in the embryonic liver erythroid precursors and peripheral blood. Uptake by liver and peripheral blood cells of pregnant an...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000208195

    authors: Djaldetti M,Notti I,Fishman P,Bessler H

    更新日期:1975-01-01 00:00:00

  • Red blood cell hexokinase in Fanconi's anemia.

    abstract::The activity of ten red blood cell enzymes, including hexokinase, has been measured in 6 Fanconi's anemia patients. In disagreement with previous reports, in no instance were reduced or increased hexokinase levels found. Furthermore, the hexokinase isozymic pattern, thermostability, pH dependence of activity and kinet...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000206612

    authors: Magnani M,Novelli G,Stocchi V,Alimena G,Dallapiccola B

    更新日期:1984-01-01 00:00:00

  • Basic fibroblast growth factor modulates the surface expression of effector cell molecules and primes respiratory burst activity in human neutrophils.

    abstract::Basic fibroblast growth factor (b-FGF) mediates a variety of biological responses such as angiogenesis and hematopoiesis. We examined the effect of b-FGF on human neutrophil functions in vitro. The surface expression of effector cell molecules on neutrophils was determined by flow cytometry and monoclonal antibodies. ...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000041024

    authors: Takagi S,Takahashi K,Katsura Y,Matsuoka T,Ohsaka A

    更新日期:2000-01-01 00:00:00

  • Testicular relapse in Philadelphia chromosome positive acute lymphoblastic leukaemia.

    abstract::A case of Philadelphia-positive (Ph) acute lymphoblastic leukaemia (ALL) in a 40-year-old male is presented. At diagnosis, 80% of bone marrow cells were Ph. Remission with normal blood counts was achieved but the marrow became hypercellular, indicating conversion to chronic granulocytic leukaemia (GCL). The Ph clone p...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000204497

    authors: O'Brien DV,Craig JM,Secker-Walker LM,Boughton BJ

    更新日期:1993-01-01 00:00:00

  • T cell prolymphocytic leukemia with new chromosome rearrangements.

    abstract::A 77-year-old woman presented to the outpatient hematology clinic in August 2001 with leukocytosis, recurrent bacterial infections, sweating and weight loss. Bone marrow biopsy showed 80% infiltration with lymphoid cells having a prolymphocytic morphology. Flow-cytometric immunophenotype analysis showed that over 80% ...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000076527

    authors: Zver S,Kokalj Vokac N,Zagradisnik B,Erjavec A,Zagorac A,Zupan IP,Cernelc P

    更新日期:2004-01-01 00:00:00

  • Anti-HTLV-III and anti-HTLV-I antibodies and T cell subsets in hemophiliacs living in HTLV-I endemic and nonendemic areas of Japan.

    abstract::Sera from 154 hemophiliacs, including 132 with hemophilia A and 22 with hemophilia B, were examined for antibodies against human T cell lymphotropic virus type III (HTLV-III) and type I by strip radioimmunoassay based on the Western blotting technique. Sixty-two patients lived in Kyushu, a known endemic area of HTLV-I...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000205944

    authors: Hattori T,Ikematsu S,Chosa T,Yamamoto S,Matsuoka M,Fukutake K,Robert-Guroff M,Takatsuki K

    更新日期:1987-01-01 00:00:00

  • The volume of plasma and erythrocytes in individual bones and in the spleen of mice under physiological conditions and with acute radiation-induced atrophy of the haemopoietic tissue.

    abstract::Using labelled erythrocytes and human serum albumin, the volume of circulating erythrocytes and plasma was determined in the spleen and individual parts of the skeleton of mice under physiological conditions and 48 h after X-irradiation with a dose of 2,87 Gy. The results are significant for the interpretation of the ...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000207231

    authors: Vácha J,Holá J,Dungel J,Znojil V

    更新日期:1980-01-01 00:00:00

  • Richter syndrome and brain involvement: low-grade lymphoma relapsing as cerebral high-grade lymphoma.

    abstract::Richter syndrome (RS) describes the development of high-grade non-Hodgkin's lymphoma (NHL) from low-grade NHL. RS isolated to the brain is very rare and has a poor prognosis. We describe the cases of high-grade large B-cell diffuse NHL in a 56-year-old male with chronic lymphocytic leukemia and in a 71-year-old female...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000334068

    authors: Stuplich M,Mayer K,Kim Y,Thanendrarajan S,Simon M,Schäfer N,Glas M,Schmidt-Wolf IG,Herrlinger U

    更新日期:2012-01-01 00:00:00

  • Gene therapy targeting hematopoietic cells: better not leave it to chance.

    abstract::Gene therapy targeting hematopoietic cells has arrived at a new stage of potency. While the potential for curing inherited disorders of the immune system has been demonstrated in clinical trials, we were also confronted with the first serious adverse events related to random insertion of foreign DNA into cellular chro...

    journal_title:Acta haematologica

    pub_type: 杂志文章,评审

    doi:10.1159/000072459

    authors: Baum C,von Kalle C

    更新日期:2003-01-01 00:00:00

  • Transient monoclonal immunoglobulin G with anti-dextran activity.

    abstract::A patient with regional enteritis had received iron dextran for treatment of iron deficiency. Subsequently he developed a large (3.1 g/100 ml) IgG-K serum spike which had precipitin activity against dextran sulfate but not a variety of other antigens. There has been no evidence of multiple myeloma and the spike gradua...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000207755

    authors: Shimm DS,Cohen HJ

    更新日期:1978-01-01 00:00:00

  • Rhinophyma-like cryptococcal infection as an early manifestation of AIDS in a hemophilia B patient.

    abstract::A hemophilia B patient, seropositive for HIV antibodies since 1984, came to us in March 1989 with a severe necrotizing lesion of the nose. It was an erythematous lesion and looked like rhinophyma. Microbiological examination of the skin biopsy showed the presence of Cryptococcus neoformans. At the time of the study, t...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000205038

    authors: Mares M,Sartori MT,Carretta M,Bertaggia A,Girolami A

    更新日期:1990-01-01 00:00:00

  • Hodgkin lymphoma accompanied by aplastic anemia and polyclonal expansion of large granular lymphocytes.

    abstract::Immunologic abnormalities have been described in patients with Hodgkin lymphoma, including autoimmune hemolytic anemia and immune thrombocytopenic purpura. The concurrent diagnoses of Hodgkin lymphoma and acquired aplastic anemia, however, is extremely rare. We report a 56-year-old Japanese female patient with severe ...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000100038

    authors: Saitoh T,Matsushima T,Yamane A,Sakuraya M,Irisawa H,Yokohama A,Handa H,Tsukamoto N,Karasawa M,Nojima Y,Murakami H

    更新日期:2007-01-01 00:00:00

  • Acute myelocytic leukemia with acute aortic occlusion as presenting symptom.

    abstract::In a 42-year-old Caucasian female, acute myelocytic leukemia (M2) presented as occlusion of the distal aorta and right iliac artery. She died after 10 days of respiratory failure. At postmortem examination the aortic wall contained multiple thrombi composed of fibrin and leukemic cells. There was no evidence of diffus...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000206100

    authors: Kootte AM,Thompson J,Bruijn JA

    更新日期:1986-01-01 00:00:00

  • Changes in serum thrombopoietin levels after splenectomy.

    abstract::To clarify the role of thrombopoietin (c-Mpl ligand, TPO) in 'hypersplenic' thrombocytopenia, we used an enzyme-linked immunosorbent assay to examine changes in serum TPO levels accompanied with splenectomy in 6 patients with liver cirrhosis, 4 patients with gastric cancer, and 2 patients with lymphoid malignancies. W...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000040888

    authors: Ichikawa N,Kitano K,Shimodaira S,Ishida F,Ito T,Kajikawa S,Tahara T,Kato T,Kiyosawa K

    更新日期:1998-12-01 00:00:00

  • Angioimmunoblastic lymphadenopathy with dysproteinemia: emphasis on pathogenesis and treatment.

    abstract::Angioimmunoblastic lymphadenopathy with dysproteinemia (AILD) is a rare lymphoproliferative disorder characterized by diffuse lymphadenopathy, fever, hepatosplenomegaly, hemolytic anemia, and polyclonal hypergammaglobulinemia. Morphologically, the involved lymph nodes demonstrate complete effacement of the normal arch...

    journal_title:Acta haematologica

    pub_type: 杂志文章,评审

    doi:10.1159/000040811

    authors: Sallah S,Gagnon GA

    更新日期:1998-01-01 00:00:00

  • Polymorphism of foetal haemoglobin in the Sardinian beta +-thalassaemia.

    abstract::12 thalassaemic patients from Northern Sardinia showing the beta + phenotype were examined by isoelectric focusing and high-performance liquid chromatography techniques for the determination of the variant A gamma T globin chain of the foetal haemoglobin. Two patients (16.7%) were homozygotes for the A gamma T gene va...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000206057

    authors: Masala B,Formato M,Manca L,Demuro P,Gallisai D,Dore F,Longinotti M

    更新日期:1986-01-01 00:00:00

  • A severe case of cefoxitin-induced immune hemolytic anemia.

    abstract::Drug-induced immune hemolytic anemia is a rare but underdiagnosed and potentially fatal condition. We report a case of severe hemolytic anemia induced by cefoxitin in a 45-year-old woman admitted with menometrorrhagia. Hemoglobin levels reached a nadir of 4.7 g/dl approximately 72 h after cefoxitin initiation, and hem...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000320169

    authors: Leaf DE,Langer NB,Markowski M,Garratty G,Diuguid DL

    更新日期:2010-01-01 00:00:00

  • Autosomal dominant von Willebrand disease type 2M.

    abstract::von Willebrand disease (VWD) type 2M is a distinct entity and clearly differs from type 1. The genotype-phenotype correlation for cases with ristocetin cofactor activity (RCo)/antigen (Ag) ratios <0.60 is clear, whereas the von Willebrand factor (VWF):collagen binding (CB)/VWF:Ag ratio is normal in VWD 2M. Typical lab...

    journal_title:Acta haematologica

    pub_type: 杂志文章,评审

    doi:10.1159/000214854

    authors: Hermans C,Batlle J

    更新日期:2009-01-01 00:00:00

  • Circulating platelet aggregates and thrombocytopenia induced by intravenous infusions of arachidonic and lauric acids in guinea pigs.

    abstract::Slow intravenous infusion of Na laurate (NaL) into guinea pigs caused a rapid appearance of platelet aggregates in the arterial blood and a precipitous fall in platelet counts. During the infusion of Na arachidonate (NaA) thrombocytopenia developed slowly, and few and smaller platelet aggregates appeared in the arteri...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000207864

    authors: Rafflenbeul D,Zbinden G

    更新日期:1977-01-01 00:00:00

  • A new Hb variant: Hb F Sardinia gamma75(E19) isoleucine leads to threonine found in a family with Hb G Philadelphia, beta-chain deficiency and a Lepore-like haemoglobin indistinguishable from Hb A2.

    abstract::A 59-year-old man with beta-thalassaemia major is unusually well. He has no beta-chains in his haemoglobin but is heterozygous for the genes responsible for alphaA and for alphaG Philadelphia. In addition he is also heterozygous for the genes responsible for gammaF and a new gamma-chain, gamma75(E19) Ile-Thr, named ga...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000208204

    authors: Grifoni V,Kamuzora H,Lehmann H,Charlesworth D

    更新日期:1975-01-01 00:00:00

  • Circulating IgG antibodies against factors IX and VIII in multiple sclerosis.

    abstract::A 64-year-old man with multiple sclerosis developed a circulating anticoagulant. Three immunoglobulin fractions (I = IgG; II =IgG+IgA; III = IgM) were separated from patient serum by 33-percent ammonium sulfate precipitation and DEAE-52 cellulose column chromatography. Fractions I (IgG) and II (IgG+IgA) had factor VII...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000207993

    authors: Moake JL,Kent CJ,Meta LD,Wright LC

    更新日期:1976-01-01 00:00:00

  • Double esterase staining and other neutrophilic granule abnormalities in 237 patients with the myelodysplastic syndrome studied by the cancer and leukemia group B.

    abstract::We investigated double (specific and nonspecific) esterase (DE) staining in marrow cells of 237 patients with the myelodysplastic syndromes (MDS). Additional abnormalities of neutrophilic granules were examined cytochemically and immunocytochemically for myeloperoxidase activity and antigen elastase, lactoferrin and C...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000040855

    authors: Elghetany MT,Peterson B,MacCallum J,Nelson DA,Varney JF,Sullivan AK,Silverman LR,Schiffer CA,Davey FR,Bloomfield CD

    更新日期:1998-01-01 00:00:00

  • Chronic myelogenous leukemia with the e6a2 BCR-ABL and lacking imatinib response: presentation of two cases.

    abstract::The BCR-ABL fusion gene represents the hallmark of chronic myelogenous leukemia (CML) and is derived from a translocation between chromosome 9 and 22. The majority of CML patients have a breakpoint in the major BCR region of the BCR gene giving rise to e13a2 or e14a2 BCR-ABL transcripts. Occasionally, other BCR breakp...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000230037

    authors: Vefring HK,Gruber FX,Wee L,Hovland R,Hjorth-Hansen H,Gedde Dahl T,Meyer P

    更新日期:2009-01-01 00:00:00

  • Deformability of the erythrocyte membrane in patients with myelodysplastic syndromes.

    abstract::One of the major determinants of erythrocyte survival is membrane deformability, and an important intrinsic parameter of membrane deformability is the shear elastic modulus (mu) with higher mu values corresponding to increased membrane rigidity. Using a micropipette technique, we determined the shear elastic modulus o...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000204753

    authors: Athanassiou G,Symeonidis A,Kourakli A,Missirlis YF,Zoumbos NC

    更新日期:1992-01-01 00:00:00

  • Serum levels of soluble IL-6 receptor in multiple myeloma as indicator of disease activity.

    abstract::Serum soluble interleukin-6 receptor (sIL-6R) concentrations were measured in 50 patients with plasma cell dyscrasias using a commercially available immunoenzymatic assay kit. There were 40 patients with multiple myeloma (MM), 5 patients with monoclonal gammopathy of undetermined significance (MGUS), 3 patients with s...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000203682

    authors: Papadaki H,Kyriakou D,Foudoulakis A,Markidou F,Alexandrakis M,Eliopoulos GD

    更新日期:1997-01-01 00:00:00

  • Phenytoin-induced agranulocytosis: a nonimmunologic idiosyncratic reaction?

    abstract::Agranulocytosis is a rare side effect of phenytoin treatment. We describe the case of an elderly man who developed agranulocytosis 2 weeks following initiation of phenytoin treatment, on no cytotoxic drugs or any other medications except decadron. The white blood cell count was 300/mm3 with absent granulocytes. The li...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000204838

    authors: Sharafuddin MJ,Spanheimer RG,McClune GL

    更新日期:1991-01-01 00:00:00

  • Lymphocytotoxic activity of monoclonal immunoglobulins in plasmalymphocytic diseases.

    abstract::95 of 1,019 (9.3%) sera with monoclonal immunoglobulins (MIg) were found to have cold-reacting lymphocytotoxins (LCT). There was no difference in the prevalence of LCT in multiple myeloma, macroglobulinemia, cancer, lymphoma or benign monoclonal gammopathy. Prevalence of LCT was similar in various classes and types of...

    journal_title:Acta haematologica

    pub_type: 杂志文章

    doi:10.1159/000206328

    authors: Pruzanski W,Capes H,Ramirez G,Falk J

    更新日期:1985-01-01 00:00:00

  • Changes in peripheral blood mononuclear cell subpopulations during antithymocyte globulin therapy for severe aplastic anemia.

    abstract::The short-term effect of a domestically produced equine antithymocyte globulin (ATG) was analyzed in 6 patients with acquired severe aplastic anemia (AA). All patients received 5 doses of ATG every other day in a 60-min intravenous infusion. Five peripheral blood immunoregulatory mononuclear cell (MNC) subsets, define...

    journal_title:Acta haematologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000205557

    authors: López-Karpovitch X,Zarzosa ME,Cárdenas MR,Piedras J

    更新日期:1989-01-01 00:00:00