Unexpected Bleeding Following Endoscopic Sinus Surgery Leading to the Rare Diagnosis of Acquired Haemophilia A / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 781-785, 2015.
Article
in Korean
| WPRIM
| ID: wpr-649962
ABSTRACT
We report a case of acquired hemophilia A following endoscopic sinus surgery. The patient was a 64-year-old man whose preoperative activated partial thromboplastin time (aPTT) was slightly prolonged. He underwent endoscopic sinus surgery for chronic rhinosinusitis with nasal polyp. Nasal bleeding occurred spontaneously on the postoperative day 3. The aPTT was prolonged at 58.9 s, with factor VIII activity of 21% and a positive factor VIII inhibitor. Treatment with factor VIII and methylprednisolone resulted in remission within 1 month. This is the first of such case reported in Korea; the patient was treated by recombinant factor VIII replacement and steroid therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Partial Thromboplastin Time
/
Factor VIII
/
Methylprednisolone
/
Epistaxis
/
Nasal Polyps
/
Diagnosis
/
Hemophilia A
/
Hemorrhage
/
Korea
Type of study:
Diagnostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS