Bleeding management in type 3 von Willebrand disease with anti-von Willebrand factor inhibitor: A literature review and case report

被引:0
|
作者
Briane, Aurelie [1 ,2 ]
Horvais, Valerie [3 ]
Sigaud, Marianne [2 ,4 ]
Trossaert, Marc [2 ,4 ]
Drillaud, Nicolas [2 ,4 ]
Ternisien, Catherine [2 ,4 ]
Fouassier, Marc [2 ,4 ]
Babuty, Antoine [2 ,4 ]
机构
[1] Nantes Univ, CHU Nantes, Serv Med Interne, Nantes, France
[2] Nantes Univ, CHU Nantes, Ctr Ressource & Competence Malad Hemorrag Constitu, Nantes, France
[3] Nantes Univ, CHU Nantes, Unite Invest Clin 17, Nantes, France
[4] Nantes Univ, CHU Nantes, Serv Hematol Biol, Nantes, France
来源
EJHAEM | 2024年 / 5卷 / 05期
关键词
allo-antibodies; bleeding disorders; emicizumab; haemostasis; von Willebrand disease; FACTOR-VIII CONCENTRATE; ALLOANTIBODIES;
D O I
10.1002/jha2.984
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Treatment of type 3 von Willebrand disease by infusion of von Willebrand factor (VWF) and factor VIII (FVIII) concentrates may lead to the development of anti-VWF antibodies, challenging haemostasis management. The systematic review of the literature presented here retrieved 15 such cases (surgery n = 11, bleeding n = 4). The heterogeneous patient management mostly involved continuous infusion of FVIII, or recombinant FVIIa together with various other strategies. Off-label infusion of the bispecific monoclonal antibody emicizumab was prescribed in three cases and in a complex local case, ultimately well-controlled with emicizumab. This illustrates the fact that emicizumab appears as a therapeutic option in this context of allo-immunisation.
引用
收藏
页码:964 / 970
页数:7
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