J Korean Rheum Assoc.  2010 Sep;17(3):295-300.

Acquired Hemophilia in a Patient with Rheumatoid Arthritis

Affiliations
  • 1Division of Rheumatology, Department of Internal Medicine, Guri Hospital, Hanyang University College of Medicine, Guri, Korea. lhsberon@hanyang.ac.kr
  • 2Division of Hemato-oncology, Department of Internal Medicine, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Abstract

Acquired hemophilia is a rare disease caused by an autoimmune reaction to coagulation factor VIII, The mortality rate of this disease is very high (8~22%). Clinical manifestations are different from congenital hemophilia. Various diseases are associated with acquired hemophilia, including autoimmune diseases such as systemic lupus erythematosus or rheumatoid arthritis (RA), tumors, inflammatory bowel disease, psoriasis, asthma, diabetes, acute hepatitis B or C, and drug reactions. However, the underlying cause is unknown in approximately 50% of cases. A few cases of acquired hemophilia with RA have been published. However, no cases have been reported in Korea. We had a patient with longstanding RA and acquired hemophilia who was suffering from upper and lower extremity purpura with a deep intramuscular hematoma. The patient was successfully treated using cyclophosphamide combined with steroid.

Keyword

Rheumatoid arthritis; Acquired hemophilia

MeSH Terms

Arthritis, Rheumatoid
Asthma
Autoimmune Diseases
Cyclophosphamide
Factor VIII
Hematoma
Hemophilia A
Hepatitis B
Humans
Inflammatory Bowel Diseases
Korea
Lower Extremity
Lupus Erythematosus, Systemic
Psoriasis
Purpura
Rare Diseases
Stress, Psychological
Cyclophosphamide
Factor VIII
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