Successful Peritoneal Dialysis in a Hemophilia a Patient with Factor VIII Inhibitor
Yükleniyor...
Dosyalar
Tarih
2010
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
MULTIMED INC
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Chronic kidney disease and need for renal replacement therapy in hemophiliacs are relatively rare occurrences. Successful hemodialysis and peritoneal dialysis applications have been reported in the literature. We report a difficult-to-manage patient with hemophilia A plus factor VIII inhibitor who presented with gastrointestinal bleeding complicated by uremia. We admitted this hemophilia A patient with gastrointestinal bleeding who did not take regular factor infusions. He also had chronic kidney disease due to urinary stone disease. Since uremia might have contributed to bleeding, we chose hemodialysis along with factor VIII supplementation. His factor VIII and factor VIII inhibitor levels were 4% and 5 Bethesda units respectively. In order to bypass the inhibitor, we applied factor VIIA and prothrombin complex concentrate. After cessation of the hemorrhage, we placed a Tenckhoff catheter under prothrombin complex concentrate infusion. We did not observe any perioperative complication. To our knowledge, this is the first report of successful peritoneal dialysis in a hemophilia A patient who had factor VIII inhibitors.
Açıklama
Anahtar Kelimeler
Hemophilia A, factor VIII inhibitor
Kaynak
Peritoneal Dialysis International
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
30
Sayı
1
Künye
Solak, Y., Türkmen, K., Atalay, H., Türk, S.,(2010). Successful Peritoneal Dialysis in a Hemophilia a Patient with Factor VIII Inhibitor. Peritoneal Dialysis International, 30(1), 114-116. doi.org/10.3747/pdi.2009.00011.
