Compartment syndrome of the forearm with life-threatening bleeding after fasciotomy as the presenting sign of postpartum acquired hemophilia A: a case report

被引:5
|
作者
Van Laer, Marie [1 ]
Penaloza, Andrea [1 ]
Stockman, Willem [3 ]
Meert, Philippe [1 ]
Lambert, Catherine [2 ]
Hermans, Cedric [2 ]
机构
[1] Catholic Univ Louvain, Clin Univ St Luc, Div Emergency Med, Brussels, Belgium
[2] Catholic Univ Louvain, Clin Univ St Luc, Div Hematol, Brussels, Belgium
[3] AZ Delta Hosp, Div Crit Care Med, Roeselare, Belgium
关键词
acquired hemophilia A; bleeding disorder; compartment syndrome; hemorrhagic shock; peripartum acquired hemophilia A; pregnancy; FACTOR-VIII INHIBITORS; TRANSPLACENTAL TRANSFER; LUPUS-ANTICOAGULANTS; TRANEXAMIC ACID; BLOOD-FLOW; DIAGNOSIS; PREGNANCY; SURVEILLANCE; RECOMBINANT; MANAGEMENT;
D O I
10.1097/MBC.0000000000000799
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acquired hemophilia A (AHA) is a rare bleeding disorder caused by the development of autoantibodies against clotting factor VIII. Although the cause of this disorder remains obscure, it is often linked to malignancies, drug administration, autoimmune diseases and pregnancy. In pregnancy-associated AHA, hemorrhagic symptoms usually present 1-4 months peripartum, however they may occur up to 1-year postpartum. Compartment syndrome of the forearm is also very uncommon complication of AHA but can have devastating consequences. We report a rare case of a compartment syndrome of the forearm in a 30-year-old woman 2.5 months postpartum as the presentation of pregnancy-associated AHA. Copyright (C) 2019 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:120 / 126
页数:7
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