title: Management of bleeding disorders in adults.
abstract: Development of FVIII inhibitors is currently the most severe and challenging complication of haemophilia A treatment and represents a very large economic burden for a chronic disease. As a result, clinical research is making major efforts to optimize the therapeutic approaches for this condition. In this section we will review some important aspects of the management of haemophilia in adults, including an overview of bleeding in women with von Willebrand disease, an analysis of FVIII consumption in patients with severe haemophilia A, an update of the ongoing RES.I.ST study, long-term prophylaxis and experience from the Pro.Will study, current evidence relating to economic aspects of the treatment of haemophilic patients with inhibitors (based on the PROFIT study), and an overview of musculoskeletal complications in adults with severe bleeding disorders.
authors.affiliation: U.O.S. Dipartimentale per la Diagnosi e la Terapia delle Coagulopatie, A. Bianchi Bonomi Hemophilia and Thrombosis Center, Fondazione I.R.C.C.S. Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano and Luigi Villa Foundation, Milan, Italy. flora.peyvandi@unimi.it
authors.forename: F
authors.initials: F
authors.lastname: Peyvandi
authors.forename: R
authors.initials: R
authors.lastname: Klamroth
authors.forename: M
authors.initials: M
authors.lastname: Carcao
authors.forename: A B
authors.initials: AB
authors.lastname: Federici
authors.forename: G
authors.initials: G
authors.lastname: DI Minno
authors.forename: V
authors.initials: V
authors.lastname: Jiménez-Yuste
authors.forename: E C
authors.initials: EC
authors.lastname: Rodriguez Merchán
mesh_terms: D000328:Adult; D019774:Blood Coagulation Factor Inhibitors / Q000276:immunology; D005169:Factor VIII / Q000627:therapeutic use*; D005260:Female; D006467:Hemophilia A / Q000188:drug therapy* / Q000276:immunology; D006470:Hemorrhage / Q000517:prevention & control*; D006801:Humans; D007108:Immune Tolerance / Q000276:immunology; D008297:Male; D009140:Musculoskeletal Diseases / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D014842:von Willebrand Diseases / Q000150:complications / Q000188:drug therapy*; D014841:von Willebrand Factor / Q000627:therapeutic use*
chemical_list: D019774:Blood Coagulation Factor Inhibitors; D014841:von Willebrand Factor; D005169:Factor VIII