A case of acquired hemophilia a diagnosed in conjunction with oral bleeding

Eriko Yanagi, Toshiyuki Kishi, Takao Matsumura, Yoshinori Tani, Nobuaki Miyahara

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Acquired hemophilia A is a rare disease in which autoantibodies to factor VIII are present. It is often manifested as a sudden onset of a critical bleeding episode, and its incidence is reported to be 1.48 cases per million persons per year. We report herein on a case of acquired hemophilia A associated with a submucosal hematoma of the oral floor, pharynx, and larynx. A 78-year-old male presented with fresh bleeding from his mouth, associated with hematoma of the oral floor, pharynx, and larynx. Laboratory test showed that the activated partial thromboplastin time was prolonged, and the platelet count and prothrombin time were normal. Coagulation tests revealed decreased factor VIII levels, and the presence of factor VIII inhibitor. A diagnosis of acquired hemophilia A was made, and immunotherapy with corticosteroids was initiated. After treatment, the bleeding tendency was controlled. On hospital day 29, the symptoms disappeared. Although acquired hemophilia A is a rare coagulopathic condition, it should be considered as one of the differential diagnoses in a case of sudden onset of severe hemorrhagic tendency of unknown origin.

Original languageEnglish
Pages (from-to)1133-1136
Number of pages4
JournalJournal of Otolaryngology of Japan
Issue number8
Publication statusPublished - 2016



  • Acquired hemophilia
  • Factor VIII inhibitor
  • Laryngeal hematoma
  • Oral bleeding

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

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