Table 1. Bleeding episodes and transfusion events prior to gene therapy in privately owned dogs with severe hemophilia A.
Age | Bleeding event | Spontaneous or traumatic | Transfusion support |
---|---|---|---|
Dog 1 | |||
8 weeks | Hematoma in hindlimb | Spontaneous | None |
9 weeks | Suspected hemothorax (cough and dyspnea) | Spontaneous | None |
12 weeks | Hematoma on head | Spontaneous | CRYOa |
20 weeks | Oral bleeding and ecchymoses on abdomen | Spontaneous | CRYO |
21 weeks | Oral bleeding following loss of tooth | Spontaneous | CRYO |
23 weeks | Hematomas on leg and neck | Spontaneous | CRYO |
25 weeks | Hemarthrosis and hematoma on thorax; blood loss anemia | Spontaneous | CRYO |
32 weeks | Scrotal hemorrhage after castration | Traumatic | CRYO, PRBCsb |
40 weeks | Hemarthrosis and hematoma over shoulder | Spontaneous | CRYO |
41 weeks | Hematoma on neck; blood loss anemia | Spontaneous | CRYO, PRBCs |
46 weeks | Recurring hematoma over shoulder | Spontaneous | CRYO |
50 weeks | Recurring hematoma over shoulder | Spontaneous | CRYO |
Dog 2 | |||
8 weeks | Hematoma on head; blood loss anemia | Spontaneous | FWBc |
10 weeks | Hematoma in hindlimb | Spontaneous | FFPd |
23 weeks | Hematoma in hindlimb and epistaxis; blood loss anemia | Spontaneous | FWB |
11 months | Severe melena following corticosteroid administration for allergies | Spontaneous | FWB |
11.5 months | Hematoma in forelimb | Spontaneous | FWB |
12–14 months | Recurring hematoma in hindlimb | Spontaneous | FWB or FFP on 5 separate occasions |
17 months | Bleeding from sutures placed for conjunctival flap (corneal ulcer) | Traumatic | FFP |
19 months | Hemarthrosis | Spontaneous | FFP |
20 months | Epistaxis and gingival bleeding | Spontaneous | None |
21 months | Epistaxis and gingival bleeding | Spontaneous | None |
22 months | Hematoma in hindlimb | Spontaneous | FFP on 5 separate occasions during the month |
24 months | Bleeding after microchip placement | Traumatic | None |
25 months | Hematoma in hindlimb | Spontaneous | None |
aCRYO, cryoprecipitate
bPRBCs, packed red blood cells
cFWB, fresh whole blood
dFFP, fresh frozen plasma.