High-titer acquired factor V inhibitor responsive to corticosteroids and cyclophosphamide in a patient with two malignant tumors

被引:31
作者
Bayani, N
Rugina, M
Haddad-Vergnes, L
Lelong, F
机构
[1] Ctr Hosp Intercommunal Creteil, Hematol Lab, F-94010 Creteil, France
[2] Creteil Intercommunal Hosp Ctr, Dept OtoRhino Laryngol & Cervico Facial Surg, Creteil, France
[3] Creteil Intercommunal Hosp Ctr, Dept Oncol, Creteil, France
关键词
acquired factor V inhibitor; malignancy; corticosteroids; cyclophosphamide;
D O I
10.1002/ajh.10172
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a 79-year-old man with two simultaneous malignant tumors (buccal epidermoid carcinoma and prostatic adenocarcinoma) who developed a severe bleeding complication at the site of the buccal tumor as well as a massive cerebral hematoma after a skull trauma. Laboratory findings showed the presence of a high-titer specific factor V inhibitor. The patient failed to respond to intravenous immunoglobulins, but both clinical and laboratory improvement was obtained after treatment with corticosteroids and cyclophosphamide. (C) 2002 Wiley-Liss, Inc.
引用
收藏
页码:33 / 36
页数:4
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