Table I.
Patient/family | Age | Blood group | Observ. period (years) | FVIII:C (%) | Spontaneous bleeding | Other bleeds | Treatment | ||||
---|---|---|---|---|---|---|---|---|---|---|---|
| |||||||||||
1st | Chr | Joints | Soft tissue | Mucosae | FVIII (IU/kg) | Other | |||||
1/1 | 13 | A | 6 | 11.9 | 9.8 | - | - | - | Trauma, GI (ulcer) | 140 | BT |
2/2 | 12 | A | 6 | 8.3 | 7.6 | - | - | - | - | 0 | 0 |
3/2 | 2.5 | A | 2.5 | 6.5 | 4.2 | - | - | - | - | 0 | 0 |
4/3 | 44 | A | 6 | 8.2 | 6.7 | - | - | - | 2 traumas, tooth extraction | 279 | 0 |
5/3 | 38 | O | 6 | 5.8 | 3.1 | - | - | - | Tonsillectomy | 1,190 | Resuturing |
6/4 | 18 | ND | 6 | 8.9 | 6.9 | - | - | - | Trauma | 0 | 0 |
7/4 | 12 | ND | 6 | 9.1 | 7.1 | - | - | - | Trauma | 0 | 0 |
8/5 | 31 | O | 6 | 7.1 | 5.1 | - | - | - | - | 0 | 0 |
9/6 | 34 | O | 7 | 6.2 | 5.2 | 1 | - | - | Tooth extraction | 218 | 0 |
10/6 | 31 | O | 6 | 6.2 | 5.1 | - | - | - | - | 0 | 0 |
11/7 | 20 | ND | 6 | 7.6 | 7.1 | - | - | - | - | 0 | 0 |
12/7 | 51 | A | 6 | 7.3 | 6.5 | - | - | 1 | 3 traumas | 431 | 0 |
13/8# | 18 | A | 6 | 6.6 | 5.7 | 4 | 11 | - | 6 traumas, appendectomy, radiosynovect. | 1,229 | NS 624 mg, AF DDAVP$ |
14/9 | 5 | A | 5 | 7.3 | 4.6 | - | - | - | 5 traumas, urol. surgery, haemato-tympanon | 1,067 | DDAVP 2x |
15/10 | 54 | O | 6 | 8.1 | 7.9 | - | - | - | Tooth extraction | 272 | 0 |
16/11 | 36 | O | 6 | 8.2 | 8.2 | - | - | - | - | 0 | 0 |
17/12 | 34 | A | 6 | 12.2 | 10.5 | - | - | - | - | 0 | 0 |
18/13† | 48 | O | 6 | 14.1 | 13.5 | - | - | - | - | 0 | 0 |
Observ.: observation; FVIII:C: factor VIII coagulant activity; IU: International Unit; GI: gastrointestinal; BT: blood transfusion; 1st: one-stage assay; Chr: chromogenic assay; ND: not determined.
Development of inhibitors;
from 4/2008-2/2010 treatment with NovoSeven (NS) and antifibrinolytic (AF), from then on with DDAVP (negative inhibitors);
patient with a single mutation.