0
ARTICLE |

Failure of Activated Prothrombin Complex Concentrates in a Hemophiliac With an Anti-Factor VIII Antibody FREE

Philip M. Blatt, MD; Gilbert C. White, II, MD; Campbell W. McMillan, MD; William P. Webster, DDS
[+] Author Affiliations

Reprint requests to Division of Hematology, University of North Carolina School of Medicine, 417 Clinical Sciences Bldg 229H, Chapel Hill, NC 27514 (Dr White).


JAMA. 1984;251(1):67-67. doi:10.1001/jama.1984.03340250047020
Text Size: A A A
Published online

IN APPROXIMATELY 15% of patients with severe hemophilia A who receive multiple transfusions, anti— factor VIII antibodies develop (C. W. McMillan, MD, S. S. Shapiro, MD, J. Lazerson, MD, unpublished data, 1983). Control of hemorrhagic episodes in these patients is often difficult and unsatisfactory. Various methods of treatment have been developed for such patients.1,2 Most recently, activated prothrombin complex concentrates (PCCs) have been described as efficacious in controlling hemorrhage in patients with an inhibitor. Two preparations of activated PCC have been developed: Autoplex (anti-inhibitor coagulant complex) and FEIBA (factor eight inhibitor bypassing activity). In published trials, response to treatment with Autoplex for major and minor bleeds ranged from excellent to fair with no treatment failures,2 while FEIBA was judged to be effective in control of joint and muscle bleeding in 64% of treatment episodes.3 The purpose of this report is to describe the failure of Autoplex to

REFERENCES

Blatt PM, White GC, McMillan CW, et al:  The treatment of hemorrhage in hemophiliacs with anti-factor VIII antibodies , in, Triplett DA (ed): Standardization of Coagulation Assays: An Overview . Skokie, Ill, College of American Pathologists, 1982;, pp 305-312.
Abildgaard CF, Penner JA, Watson-Williams EJ:  Anti-inhibitor coagulant complex (Autoplex) for treatment of factor VIII inhibitors in hemophilia . Blood 1980;;56:978-984.
Sjamsoedin LJM, Heijnen L, Mauser-Bunschoten EP, et al:  The effect of activated prothrombin-complex concentrate (FEIBA) on joint and muscle bleeding in patients with hemophilia A and antibodies to factor VIII: A double-blind clinical trial . N Engl J Med 1981;; 305:717-721.
Kasper CK, Aledort LM, Edson JR, et al:  A more uniform measurement of factor VIII inhibitors . Thromb Diath Haemorrh 1975;;34:869-872.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Blatt PM, White GC, McMillan CW, et al:  The treatment of hemorrhage in hemophiliacs with anti-factor VIII antibodies , in, Triplett DA (ed): Standardization of Coagulation Assays: An Overview . Skokie, Ill, College of American Pathologists, 1982;, pp 305-312.
Abildgaard CF, Penner JA, Watson-Williams EJ:  Anti-inhibitor coagulant complex (Autoplex) for treatment of factor VIII inhibitors in hemophilia . Blood 1980;;56:978-984.
Sjamsoedin LJM, Heijnen L, Mauser-Bunschoten EP, et al:  The effect of activated prothrombin-complex concentrate (FEIBA) on joint and muscle bleeding in patients with hemophilia A and antibodies to factor VIII: A double-blind clinical trial . N Engl J Med 1981;; 305:717-721.
Kasper CK, Aledort LM, Edson JR, et al:  A more uniform measurement of factor VIII inhibitors . Thromb Diath Haemorrh 1975;;34:869-872.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.