Abstract
Approximately 30% of patients with severe hemophilia A develop inhibitory antibodies to factor VIII. Patient-related and treatment-related factors have been implicated in inhibitor development. Inhibitor development is associated with significant morbidity, and decreased quality of life, and is currently the most challenging complication in the management of patients with hemophilia. Hemostatic bypassing agents are used to control bleeding episodes in patients with inhibitors, while the cornerstone of management is inhibitor eradication by immune tolerance. Newer nonfactor products are rapidly changing the landscape of inhibitor management.
Original language | English |
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Title of host publication | Pediatric Bleeding Disorders |
Subtitle of host publication | A Clinical Casebook |
Publisher | Springer International Publishing |
Pages | 13-23 |
Number of pages | 11 |
ISBN (Electronic) | 9783030316617 |
ISBN (Print) | 9783030316600 |
DOIs | |
State | Published - Jan 1 2020 |
Keywords
- Bypassing agents
- Hemophilia A
- Immune tolerance therapy
- Inhibitors