Case Report

Diagnosis and Management of Acquired Hemophilia A: Case Reports and a Literature Review

Table 1

Summary of hemostatic therapies found in the literature.

TherapyAuthors
Tiede et al. [16]Kruse-Jarres et al. [6]Shetty et al. [17]

Human factor VIII50–100 U/kg followed by tailored dosing
If other options are unavailable
Dose not mentionedDose not mentioned

Recombinant porcine factor VIII (rpFVIII)200 U/kg, followed by further doses to maintain levels >50%If no antiporcine FVIII inhibitors present, 50–100 U/kg initially while monitoring FVIII activity every 2-3 h, with dose adjusted as required
If antiporcine FVIII inhibitors are detected, 200 U/kg initially for severe bleeding or 50–100 U/kg for less severe bleeding
Not mentioned

Recombinant FVII activated (rFVIIa)Bolus injections of 90 μg/kg every 2-3 h until hemostasis is achievedDose of 70–90 μg/kg every 2-3 h until hemostasis achieved90 mcg/kg every 2 h until bleeding has been controlled

Activated prothrombin complex concentrate (APCC)Bolus injections of 50−100 U/kg every 8−12 h, up to a maximum of 200 U/kg/dayDose of 50–100 U/kg every 8–12 h not exceeding 200 U/kg/day50–100 U/kg every 8–12 h with a maximum dose of 200 U/kg/day