Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII

Acquired hemophilia A (AHA) is a rare autoimmune disorder caused by autoantibodies against Factor VIII (FVIII). It has a high mortality due to bleeding complications. FVIIa-based bypassing agents are the first line of treatment but not always effective. Recombinant porcine (rp) FVIII (Obizur®) was r...

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Main Authors: S. Nguyen, P. Teh, J. Zhou, E. Y. Chang, A. von Drygalski
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2019/9026121
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author S. Nguyen
P. Teh
J. Zhou
E. Y. Chang
A. von Drygalski
author_facet S. Nguyen
P. Teh
J. Zhou
E. Y. Chang
A. von Drygalski
author_sort S. Nguyen
collection DOAJ
description Acquired hemophilia A (AHA) is a rare autoimmune disorder caused by autoantibodies against Factor VIII (FVIII). It has a high mortality due to bleeding complications. FVIIa-based bypassing agents are the first line of treatment but not always effective. Recombinant porcine (rp) FVIII (Obizur®) was recently approved for rescue treatment but with little evidence-based information regarding efficacy. We report a case of papillary thyroid cancer associated with AHA malignancy that responded to a single dose of rpFVIII after failure to achieve hemostasis with FVIIa-based bypassing products.
format Article
id doaj-art-53879028ec4c40db86f50d1507fdc06c
institution Kabale University
issn 2090-6560
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-53879028ec4c40db86f50d1507fdc06c2025-02-03T01:27:39ZengWileyCase Reports in Hematology2090-65602090-65792019-01-01201910.1155/2019/90261219026121Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIIIS. Nguyen0P. Teh1J. Zhou2E. Y. Chang3A. von Drygalski4Department of Medicine, University of California San Diego, San Diego, CA, USADepartment of Medicine, University of California Riverside, Riverside, CA, USADepartment of Medicine, University of California San Diego, San Diego, CA, USARadiology Service, VA San Diego Healthcare System, San Diego, CA, USADepartment of Medicine, University of California San Diego, San Diego, CA, USAAcquired hemophilia A (AHA) is a rare autoimmune disorder caused by autoantibodies against Factor VIII (FVIII). It has a high mortality due to bleeding complications. FVIIa-based bypassing agents are the first line of treatment but not always effective. Recombinant porcine (rp) FVIII (Obizur®) was recently approved for rescue treatment but with little evidence-based information regarding efficacy. We report a case of papillary thyroid cancer associated with AHA malignancy that responded to a single dose of rpFVIII after failure to achieve hemostasis with FVIIa-based bypassing products.http://dx.doi.org/10.1155/2019/9026121
spellingShingle S. Nguyen
P. Teh
J. Zhou
E. Y. Chang
A. von Drygalski
Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
Case Reports in Hematology
title Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
title_full Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
title_fullStr Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
title_full_unstemmed Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
title_short Acquired Hemophilia A (FVIII Deficiency) Associated with Papillary Thyroid Cancer: Treatment with Recombinant Porcine FVIII
title_sort acquired hemophilia a fviii deficiency associated with papillary thyroid cancer treatment with recombinant porcine fviii
url http://dx.doi.org/10.1155/2019/9026121
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