Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition

Abstract Background Acquired hemophilia A (AHA) is a rare acquired bleeding disorder occurred due to the formation of inhibitory antibodies neutralizing endogenous factor VIII. Main body About half the cases are idiopathic. Symptoms include severe and unexpected bleeding that could be life-threateni...

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Main Authors: Doaa M. El Demerdash, Alia Ayad, Noha Tawfik
Format: Article
Language:English
Published: SpringerOpen 2022-01-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-021-00074-9
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author Doaa M. El Demerdash
Alia Ayad
Noha Tawfik
author_facet Doaa M. El Demerdash
Alia Ayad
Noha Tawfik
author_sort Doaa M. El Demerdash
collection DOAJ
description Abstract Background Acquired hemophilia A (AHA) is a rare acquired bleeding disorder occurred due to the formation of inhibitory antibodies neutralizing endogenous factor VIII. Main body About half the cases are idiopathic. Symptoms include severe and unexpected bleeding that could be life-threatening. High index of suspicion should be raised when unexplained subcutaneous or post-surgical bleeding with isolated prolonged APTT. Conclusions Acquired hemophilia A is a rare underdiagnosed underreported acquired hemostatic disorder that presents with sudden usually life-threatening bleeding; it is crucial to raise awareness and suspicion index of clinicians for early diagnosis and treatment to avoid morbidity and mortality.
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spelling doaj.art-f9ccae73944c4361ab668635293388e72022-12-21T16:43:04ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982022-01-013411610.1186/s43162-021-00074-9Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical conditionDoaa M. El Demerdash0Alia Ayad1Noha Tawfik2Internal Medicine Department, Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo UniversityInternal Medicine Department, Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo UniversityInternal Medicine Department, Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo UniversityAbstract Background Acquired hemophilia A (AHA) is a rare acquired bleeding disorder occurred due to the formation of inhibitory antibodies neutralizing endogenous factor VIII. Main body About half the cases are idiopathic. Symptoms include severe and unexpected bleeding that could be life-threatening. High index of suspicion should be raised when unexplained subcutaneous or post-surgical bleeding with isolated prolonged APTT. Conclusions Acquired hemophilia A is a rare underdiagnosed underreported acquired hemostatic disorder that presents with sudden usually life-threatening bleeding; it is crucial to raise awareness and suspicion index of clinicians for early diagnosis and treatment to avoid morbidity and mortality.https://doi.org/10.1186/s43162-021-00074-9HemophiliaAcquiredBleedingProlonged APTT
spellingShingle Doaa M. El Demerdash
Alia Ayad
Noha Tawfik
Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
The Egyptian Journal of Internal Medicine
Hemophilia
Acquired
Bleeding
Prolonged APTT
title Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
title_full Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
title_fullStr Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
title_full_unstemmed Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
title_short Acquired hemophilia A (AHA): underreported, underdiagnosed, undertreated medical condition
title_sort acquired hemophilia a aha underreported underdiagnosed undertreated medical condition
topic Hemophilia
Acquired
Bleeding
Prolonged APTT
url https://doi.org/10.1186/s43162-021-00074-9
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