Difficult clinical challenges in haemophilia: international experiential perspectives

• Published in: Haemophilia : the official journal of the World Federation of Hemophilia Vol. 18; no. s5; pp. 39 - 45
• Main Authors: FORSYTH, ANGELA L., GIANGRANDE, PAUL, HAY, CHARLES R. M., KENET, GILI, KESSLER, CRAIG M., KNÖBL, PAUL N., LLINÁS, ADOLFO, SANTAGOSTINO, ELENA, YOUNG, GUY
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.07.2012
• Subjects: acquired haemophilia; Blood Coagulation Factor Inhibitors - blood; Catheter-Related Infections - etiology; Catheterization, Central Venous - adverse effects; Child; Child, Preschool; Coagulants - administration & dosage; Coagulants - therapeutic use; Drug Administration Schedule; elective orthopaedic surgery; Factor VIII - administration & dosage; Factor VIII - therapeutic use; haemophilia; Hemarthrosis - prevention & control; Hemophilia A - blood; Hemophilia A - complications; Hemophilia A - drug therapy; Humans; immune tolerance; Infant; inhibitors; Male; paediatric; Staphylococcal Infections - etiology; Staphylococcus aureus - isolation & purification
• ISSN: 1351-8216; 1365-2516
• DOI: 10.1111/j.1365-2516.2012.02887.x

Haemostasis management in people with haemophilia can present a range of challenges to physicians. Specific challenges that may be encountered relate to regimens for immune tolerance induction, use of central venous access devices, optimizing care of paediatric patients with inhibitors and improving outcomes in acquired haemophilia. There are also challenges related to performing surgery, and the establishment of specialist centres is valuable with regard to this. These challenges are considered in the light of available data, and with perspectives gained from the experience of experts treating patients around the world. Sharing this knowledge may help to improve patient management.