[Diagnosis and management of a haemorrhagic emergency revealing an acquired haemophilia].
We relate the case of a 22-year-old woman, without any particular medical history, apart from a previous full-term pregnancy with no complication, for whom the discovery of prolongated APTT (Activated Partial Thromboplastin Time) postponed an emergency operation in spite of intracystic ovarian haemorrhage. The complementary check-up revealed the existence of an autoantibody antifactor VIII (antithromboplastinogen), showing acquired postpartum haemophilia.
Roth
B
B
Service de réanimation polyvalente, centre hospitalier de Calais, 11, quai du Commerce, 62107 Calais, France.
El Mouden
M
M
D000328:Adult; D001323:Autoantibodies / Q000032:analysis / Q000276:immunology; D004632:Emergency Medical Services; D005169:Factor VIII / Q000276:immunology; D005260:Female; D006467:Hemophilia A / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D010048:Ovarian Cysts / Q000150:complications; D010314:Partial Thromboplastin Time; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
D001323:Autoantibodies; D007166:Immunosuppressive Agents; D005169:Factor VIII