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KMID : 0387720120230010068
Korean Journal of Blood Transfusion
2012 Volume.23 No. 1 p.68 ~ p.71
Acquired Hemophilia: Successfully Treated with Plasma Exchange in a Patient with Hightiter Inhibitors
Kim Yu-Kyung

Suh Jang-Soo
Abstract
Acquired hemophilia is an extremely rare but life threatening hemorrhagic disease caused by autoantibodies directed coagulation factor VIII. Estimated management guidelines include rapid diagnosis, suppression of bleeding, and elimination of inhibitors by use of immunosuppressants. Plasma exchange is used restrictively as an adjuvant in order to lower the level of inhibitor. We report on a successful therapeutic experience with plasma exchange in a patient with refractory acquired hemophilia. After performance of the plasma exchange procedure, bleeding was controlled and results of coagulation tests showed improvement according to the decrease in levels of factor VIII inhibitor.
KEYWORD
Acquired hemophilia, Factor VIII inhibitor, Plasma exchange
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