title: [Massive bleeding episodes in patients with acquired haemophilia--case report].
abstract: We present two cases with a history of acquired haemophilia with massive haemorrhage in the course of the disease. A 74-year-old man presented to the emergency room with an extensive, progressive swelling and haemorrhage in the region of left knee joint, both upper legs and forearms. Laboratory studies revealed the presence of the factor VIII inhibitor in the titer of 115 Bethesda U/mL, low level of factor VIII activity (19.2%) and severe anemia (Hb - 7.0 g%). The patient was treated with FFP transfusions and prednisone with cyclophosphamide to eradicate factor VIII inhibitor. The remission was achieved and lasts for a two years. A 52-year-old woman presented to the emergency room with an extensive subcutaneous haemorrhage in the region of right knee joint and right lower leg. Laboratory studies revealed the presence of the factor VIII inhibitor in the titer of 30 Bethesda U/mL. The factor VIII activity level was only 4%. The patient did not receive the FFP because the severity of the haemorrhage was low. She was treated with steroids. The factor VIII inhibitor disappeared after 2.5 months of therapy.
authors.affiliation: Klinika Hematoonkologii i Transplantacji Szpiku AM w Lublinie.
authors.forename: Bozena
authors.initials: B
authors.lastname: Sokołowska
authors.forename: Waldemar
authors.initials: W
authors.lastname: Tomczak
authors.forename: Tomasz
authors.initials: T
authors.lastname: Gromek
authors.forename: Wojciech
authors.initials: W
authors.lastname: Legieć
mesh_terms: D000368:Aged; D001323:Autoantibodies / Q000097:blood; D019774:Blood Coagulation Factor Inhibitors / Q000097:blood; D005169:Factor VIII / Q000037:antagonists & inhibitors* / Q000187:drug effects; D005260:Female; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged
chemical_list: D001323:Autoantibodies; D019774:Blood Coagulation Factor Inhibitors; D007166:Immunosuppressive Agents; D005169:Factor VIII