Acquired hemophilia A: a case report and review of the literature

Abstract Background Acquired hemophilia A is a rare autoimmune disease characterized by inhibitory antibodies against coagulation factor VIII, leading to an increased risk of bleeding. The relevance of this case lies in its high associated morbidity and mortality, and the importance of early diagnos...

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Main Authors: Juan-Alfonso Perotti-Abad, Álvaro Cabezas-Corado, Luis Astolfi-Labrador, María Baus-Domínguez, Guillermo Machuca-Portillo, María-Ángeles Serrera-Figallo, Daniel Torres-Lagares
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Medical Case Reports
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Online Access:https://doi.org/10.1186/s13256-025-05406-9
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author Juan-Alfonso Perotti-Abad
Álvaro Cabezas-Corado
Luis Astolfi-Labrador
María Baus-Domínguez
Guillermo Machuca-Portillo
María-Ángeles Serrera-Figallo
Daniel Torres-Lagares
author_facet Juan-Alfonso Perotti-Abad
Álvaro Cabezas-Corado
Luis Astolfi-Labrador
María Baus-Domínguez
Guillermo Machuca-Portillo
María-Ángeles Serrera-Figallo
Daniel Torres-Lagares
author_sort Juan-Alfonso Perotti-Abad
collection DOAJ
description Abstract Background Acquired hemophilia A is a rare autoimmune disease characterized by inhibitory antibodies against coagulation factor VIII, leading to an increased risk of bleeding. The relevance of this case lies in its high associated morbidity and mortality, and the importance of early diagnosis in both medical and dental practice. Case presentation We present the clinical case of a 74-year-old Spanish Caucasian patient diagnosed with acquired hemophilia A. The patient was initially treated for progressive edema in the right lower limb, followed by hematomas in the tongue and submandibular region. The diagnosis was confirmed through hematological tests, which revealed a prolonged activated partial thromboplastin time and low coagulation factor VIII activity (2.4%). Treatment with hemostatic agents and corticosteroids was initiated, resulting in a favorable improvement of the hematomas. Conclusions Acquired hemophilia A requires a multidisciplinary and personalized approach for each patient. Focus should be placed on prevention, early diagnosis, and appropriate treatment to effectively manage this coagulopathy and improve patient outcomes.
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series Journal of Medical Case Reports
spelling doaj-art-f3e00a7c3bca4504b40caa010de9572f2025-08-20T03:43:21ZengBMCJournal of Medical Case Reports1752-19472025-07-011911810.1186/s13256-025-05406-9Acquired hemophilia A: a case report and review of the literatureJuan-Alfonso Perotti-Abad0Álvaro Cabezas-Corado1Luis Astolfi-Labrador2María Baus-Domínguez3Guillermo Machuca-Portillo4María-Ángeles Serrera-Figallo5Daniel Torres-Lagares6Private Practice at Clínica Dental Juan Alfonso Perotti Abad, C/Doctor MarañónDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NDepartment of Stomatology, Faculty of Dentistry, University of Seville. C/Avicena S/NAbstract Background Acquired hemophilia A is a rare autoimmune disease characterized by inhibitory antibodies against coagulation factor VIII, leading to an increased risk of bleeding. The relevance of this case lies in its high associated morbidity and mortality, and the importance of early diagnosis in both medical and dental practice. Case presentation We present the clinical case of a 74-year-old Spanish Caucasian patient diagnosed with acquired hemophilia A. The patient was initially treated for progressive edema in the right lower limb, followed by hematomas in the tongue and submandibular region. The diagnosis was confirmed through hematological tests, which revealed a prolonged activated partial thromboplastin time and low coagulation factor VIII activity (2.4%). Treatment with hemostatic agents and corticosteroids was initiated, resulting in a favorable improvement of the hematomas. Conclusions Acquired hemophilia A requires a multidisciplinary and personalized approach for each patient. Focus should be placed on prevention, early diagnosis, and appropriate treatment to effectively manage this coagulopathy and improve patient outcomes.https://doi.org/10.1186/s13256-025-05406-9Hemophilia A acquiredCoagulation disorderFactor VIIIDiagnosisAntibodiesHematoma
spellingShingle Juan-Alfonso Perotti-Abad
Álvaro Cabezas-Corado
Luis Astolfi-Labrador
María Baus-Domínguez
Guillermo Machuca-Portillo
María-Ángeles Serrera-Figallo
Daniel Torres-Lagares
Acquired hemophilia A: a case report and review of the literature
Journal of Medical Case Reports
Hemophilia A acquired
Coagulation disorder
Factor VIII
Diagnosis
Antibodies
Hematoma
title Acquired hemophilia A: a case report and review of the literature
title_full Acquired hemophilia A: a case report and review of the literature
title_fullStr Acquired hemophilia A: a case report and review of the literature
title_full_unstemmed Acquired hemophilia A: a case report and review of the literature
title_short Acquired hemophilia A: a case report and review of the literature
title_sort acquired hemophilia a a case report and review of the literature
topic Hemophilia A acquired
Coagulation disorder
Factor VIII
Diagnosis
Antibodies
Hematoma
url https://doi.org/10.1186/s13256-025-05406-9
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