Acquired factor VIII inhibitors: case reports of paclitaxel and penicillin-induced entities

Blood Coagul Fibrinolysis. 2009 Dec;20(8):719-21. doi: 10.1097/MBC.0b013e32832fb1b9.

Abstract

Acquired hemophilia A is an uncommon but potentially life-threatening clinical entity mediated by specific autoantibodies direct against coagulation factor VIII. It may be associated with a number of conditions such as solid malignancies, autoimmune diseases, lymphoproliferative disorders, and drugs. Early recognition of this entity is necessary to avoid a delay in treatment, which might lead to serious complications including severe bleeding and death. Hereby, we report a case of acquired hemophilia A caused by a commonly used drug, penicillin, as well as the first reported case, to our knowledge, of acquired Factor VIII inhibitor secondary to paclitaxel.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Autoantibodies / blood
  • Factor VIII / immunology*
  • Female
  • Hemophilia A / chemically induced*
  • Humans
  • Male
  • Paclitaxel / adverse effects*
  • Paclitaxel / therapeutic use
  • Penicillins / adverse effects*
  • Penicillins / therapeutic use
  • Treatment Outcome

Substances

  • Autoantibodies
  • Penicillins
  • Factor VIII
  • Paclitaxel