在接种COVID-19疫苗后获得的A型血友病
Jennifer Kate Beckerman1, Omar Yaghi2, Samah Nassereddine3
1Hematology-Oncology, The George Washington University Hospital, Washington DC, District of Columbia, USA jbeckerman@gwu.edu.
BMJ case reports
|March 5, 2025
概括
获得的血友病A (AHA) 可能发生在COVID-19疫苗接种后,导致严重出血. 这种病例突出显示了一名患者在接种疫苗后发展出获得的FVIII抑制剂,需要及时诊断和治疗.
科学领域:
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 获得性血友病A (AHA) 涉及自抗体中和第八因子 (FVIII),导致严重出血.
- 报道称,COVID-19疫苗与针对凝血因子的获得性自身抗体有关,从而增加了发病率.
研究的目的:
- 在接种COVID-19 mRNA增强疫苗后报告获得的血友病A病例.
- 强调识别获得的FVIII抑制剂对于及时管理的重要性.
主要方法:
- 一个男性患者的病例报告呈现出血和血瘤.
- 实验室评估,包括延长活化部分血栓形成时间 (aPTT).
- 鉴定获得的FVIII抑制剂和减少的FVIII活性.
主要成果:
- 该患者在接受COVID-19 mRNA助推剂后发展出获得的血友病A.
- 长时间的aPTT (55s) 表示凝血障碍.
- 经证实存在一种获得的FVIII抑制剂,FVIII活性严重降低.
结论:
- 接种COVID-19疫苗可能是获得FVIII抑制剂的触发因素.
- 获得性抑制剂的早期检测对于有效控制出血至关重要.
- 开始使用类固醇和环胺的治疗以消除抑制剂.
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