Acquired haemophilia A presenting at a District General Hospital. (17th February 2015)

• Record Type: Journal Article
• Authors: Freeman, Amy
• Is Part Of: BMJ case reports. Volume 2015
• Publication Date: 2015-02-17
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-208001
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We report a case of a 64-year-old man presented to A&E with a 2-week to 4-month history of right hip pain, right leg weakness and fasciculations, extensive bruising and a vesicular skin rash. He had a CT of the chest/abdomen/pelvis, which revealed multiple extensive haematomas including an iliopsoas haematoma causing a lumbar plexopathy and resulting in the right hip and leg symptoms. He had clotting studies showing a prolonged activated partial thromboplastin time. Haematology review together with mixing studies suggested a diagnosis of acquired haemophilia A. He was treated at the local tertiary centre with activated prothrombin complex concentrate and steroids and made a full recovery.