Mednet Logo
HomePediatric Hematology/OncologyQuestion

When do you stop trying to eradicate an acquired factor VIII inhibitor?

1
3 Answers
Mednet Member
Mednet Member
Pediatric Hematology/Oncology · St. Jude Children’s Research Hospital

First, to be clear, the answer to this question is not well studied in any population, and the clinical setting (i.e. age, titer - historical max or current), and the nature of the complications isn't detailed here. I presume "no causative etiology" includes "not postpartum, and not accompanied by (...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Medical Oncology · Mary Lanning Healthcare Morrison Cancer Center/University of Nebraska Medical Center Adjunct Faculty

Acquired factor VIII inhibitor causes a rare but life-threatening form of bleeding disorder. Treatment modalities have included the use of immunosuppressive drugs such as cyclophosphamide and corticosteroids, plasmapheresis, and I.V. immunoglobulin and rituximab.

I had two adult patients who could n...

Register or Sign In to see full answer

Mednet Member
Mednet Member
Medical Oncology · Hemophilia Treatment Center

I agree with Dr. @Dr. First Last that this is not well studied and that immunosuppressive therapy in an older patient is not always well tolerated. If the patient is not bleeding, then I would get rid of the more toxic immunosuppressive agents at least for a while.

However, if the inhibitor is stil...

Register or Sign In to see full answer

When do you stop trying to eradicate an acquired factor VIII inhibitor? | Mednet