Hereditary hemorrhagic telangiectasia: systemic therapies, guidelines, and an evolving standard of care

被引:52
作者
Al-Samkari, Hanny [1 ]
机构
[1] Harvard Med Sch, Massachusetts Gen Hosp, Div Hematol, Boston, MA 02115 USA
关键词
ENDOTHELIAL GROWTH-FACTOR; EPISTAXIS SEVERITY SCORE; VASCULAR MALFORMATIONS; IRON-DEFICIENCY; TRANEXAMIC ACID; DOUBLE-BLIND; FACTOR-VIII; BEVACIZUMAB; THALIDOMIDE; ANEMIA;
D O I
10.1182/blood.2020008739
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hereditary hemorrhagic telangiectasia (HHT) management is evolving because of the emergence and development of antiangiogenic therapies to eliminate bleeding telangiectasias and achieve hemostasis. This progress is reflected in recent clinical recommendations published in the Second International Guidelines for the Diagnosis and Treatment of HHT, in which systemic therapies including antiangiogenics and antifibrinolytics are now recommended as standard treatment options for bleeding. This review highlights the new recommendations especially relevant to hematologists in managing bleeding, anticoagulation, and anemia in patients with HHT.
引用
收藏
页码:888 / 895
页数:8
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