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Acquired factor V inhibitors.

P Knöbl1, K Lechner

  • 1Department of Medicine I, University of Vienna, Austria.

Bailliere'S Clinical Haematology
|March 31, 1999
PubMed
Summary
This summary is machine-generated.

Factor V inhibitors, while having a generally good prognosis, vary in outcome by cause. Bovine thrombin exposure offers the best outlook, whereas

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Area of Science:

  • Hematology
  • Immunology

Background:

  • Factor V inhibitors are rare but serious conditions.
  • Understanding their pathogenesis and clinical course is crucial for patient management.

Purpose of the Study:

  • To review and categorize cases of factor V inhibitors.
  • To describe clinical and biochemical properties.
  • To evaluate prognosis and treatment options.

Main Methods:

  • Literature review of 105 cases published between 1955 and 1997.
  • Classification of patients into five etiological groups.
  • Analysis of clinical presentation, biochemical data, and outcomes.

Main Results:

  • Five etiological groups identified: bovine thrombin exposure, post-surgery, miscellaneous conditions, idiopathic, and congenital factor V deficiency.

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  • Overall prognosis is favorable, but 'idiopathic' inhibitors have the worst outcome.
  • Immunoadsorption and plasmapheresis show promise for acute bleeding management.
  • Conclusions:

    • Prognosis for factor V inhibitors is group-dependent.
    • Effective acute bleeding treatments include immunoadsorption and plasmapheresis.
    • Spontaneous resolution is common; immunosuppression efficacy is uncertain.