Clotting factor concentrate switching and inhibitor development in hemophilia A

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Clotting factor concentrate switching and inhibitor development in hemophilia A.

The development of alloantibodies or inhibitors is the most serious complication a patient with severe hemophilia can experience from treatment with clotting factor concentrates. Although common in previously untreated patients, inhibitor development is rare in multiply exposed, well-tolerized patients. There has been a nonevidence-based reluctance to change concentrate because of a perceived g...

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Perspectives Clotting factor concentrate switching and inhibitor development in hemophilia A

The development of alloantibodies or inhibitors is the most serious complication a patient with severe hemophilia can experience from treatment with clotting factor concentrates. Although common in previously untreated patients, inhibitor development is rare in multiply exposed, welltolerized patients. There has been a nonevidence-based reluctance to change concentrate because of a perceived gr...

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Circulating factor IX antigen-inhibitor complexes in hemophilia B- following infusion of a factor IX concentrate.

A persistent low-titer factor IX Inhibitor was discovered in a patIent with severe hemophllia B. The Inhibitor was very likely an immunoglobulin, since it was present in serum, was not dialyzable, retained its potency after heating to 56#{176}C, and was bound by staphylococcal protein A (SPA). When the hemophilia B patient with the inhibItor was given therapeutic infusions of factor Ix concentr...

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Detection of Factor VIII Inhibitors in Hemophilia A Patients

Background: Factor VIII administration to hemophilia A patients results in an immune response (inhibitor formation) which significantly complicates the therapy. The present study was performed to determine the prevalence of inhibitor development in hemophilia A patients receiving recombinant factor VIII therapy. Materials and Methods: This was an observational descriptive study. Clotting fac...

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ژورنال

عنوان ژورنال: Blood

سال: 2012

ISSN: 0006-4971,1528-0020

DOI: 10.1182/blood-2012-03-378927