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Factor VIII inhibitors in hemophilia A: rationale and latest evidence

2012/10/30 by Char Witmer, Guy Young · 1 citation
Medicine · #Hemophilia Treatment and Research #Blood Coagulation and Thrombosis Mechanisms #Platelet Disorders and Treatments

paper · doi:10.1177/2040620712464509

openalex publication_date 2012/10/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/22

Abstract

Factor VIII (FVIII) replacement therapy is the foundation of treatment in hemophilia A and is effective unless a patient develops an alloantibody (inhibitor) against exogenous FVIII. Inhibitor development is currently the most significant treatment complication seen in patients with hemophilia and is associated with considerable morbidity and a decreased quality of life. The development of an inhibitor is the result of a complex interaction between a patient's immune system and genetic and environmental risk factors. The mainstay of treatment is the eradication of the inhibitor through immune tolerance. This review summarizes the current evidence regarding inhibitor risk factors, eradication, and hemostatic bypassing agents.

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