J Korean Orthop Assoc.  2006 Feb;41(1):167-169.

Total Knee Arthroplasty-associated Acquired Hemophilia: A Case Report

• Song MH
• Ahn SJ
• Yoo SH
• Kim BH
• Park JH

Abstract

Acquired hemophilia due to the acquisition of antibodies to factor VIII is quite rare, and is associated with conditions such as pregnancy, lymphoma and autoimmune disorders. However, surgical trauma has not been recognized as a cause of factor VIII inhibitors. There have only been 4 cases (3 abdominal surgery, 1 coronary bypass surgery) reported in the world thus far. We experienced acquired hemophilia associated with Total Knee Arthroplasty. This syndrome presents with abrupt bleeding in the first few days after surgery and may cause life-threatening complications. We report a case of acquired hemophilia that was cured with immunosuppressive therapy with a review of the relevant literature.

Keyword

Acquired hemophilia; Total knee arthroplasty

MeSH Terms

Antibodies
Arthroplasty
Factor VIII
Hemophilia A*
Hemorrhage
Knee*
Lymphoma
Pregnancy
Antibodies
Factor VIII