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Förvärvad hemofili - förbisedd åkomma med hög morbiditet
Engelsk titel: Acquired haemophilia - an overlooked disorder with high morbidity Läs online Författare: Qvist, Evelina ; Engquist, Leif ; Tengborn, Lilian Språk: Swe Antal referenser: 9 Dokumenttyp: Fallbeskrivning UI-nummer: 10021426

Tidskrift

Läkartidningen 2010;107(6)328-32 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Acquired haemophilia is a rare bleeding disorder with high morbidity. The incidence is approximately 1.5 per million and year. In the Nordic countries the incidence is only 0.7, suggesting a high unrecorded number of cases. A specific coagulation assessment is necessary for adequate treatment in acute bleeding events. Immune suppressive therapy should be instituted as soon as the diagnosis is established with Prednisolone 1 mg per kg body weight with or without cytotoxic drugs during 4-6 weeks to eliminate the activity of the autoantibodies. If no signs of remission after 6-8 weeks a second line of immune suppression therapy should be considered e.g. with rituximab.