Session Type
Meeting
Search Results for Acquired Hemophilia
Abstract Number: 395
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 73 year old female with borderline diabetes mellitus and hypertension presented to the emergency department with the sudden onset of nontraumatic swelling, pain and ecchymosis of her right leg. She did report receiving an influenza vaccination at her left arm 3 weeks prior to this visit resulting in bruising from her shoulder […]
Abstract Number: 428
SHM Converge 2021
Case Presentation: An 89 year old female with a recent admission for left knee atraumatic hemarthrosis a week ago, presented with arm pain to the emergency department. She had bilateral forearm and hand pain, swelling, and paresthesias that had started after getting blood draws at her last hospital stay and had slowly worsened.On physical exam, […]
Abstract Number: 460
SHM Converge 2023
Case Presentation: Acquired Hemophilia A (AHA) is a rare disease, with 1 to 2 cases per million, and occurs due to production of autoantibodies that inhibit Factor VIII, a vital step of the intrinsic coagulation cascade, resulting in the potential for lethal bleeding. Here we present a case of a 59-year-old woman with history of […]
Abstract Number: 611
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 70 year old woman with no personal or family history of bleeding diathesis presented to emergency room with month long history of intermittent epistaxis. Her initial laboratory investigation showed severe macrocytic anemia and new onset renal failure. A presumptive diagnosis of uremic platelet dysfunction was made and the patient treated with anterior […]
Abstract Number: 687
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 77-year-old woman presented with altered mental status, tachycardia, tachypnea, and hypotension. Her family noted 1 month of progressive lethargy, with spontaneous subconjunctival hemorrhage and various episodes of facial and extremity bruising (for which she had 3 prior ED visits). Past medical history was notable for hypertension, remote history of nosebleeds, and menorrhagia […]
Abstract Number: 729
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: We present a case of acquired hemophilia A (AHA) in an elderly patient with longstanding rheumatoid arthritis (RA). An 85-year-old woman was transferred from an outside hospital for further evaluation of spontaneous soft tissue hematomas. She reported numerous enlarged bruises, spontaneously appearing on her upper and lower extremities over the last 2 months. […]
Abstract Number: 737
SHM Converge 2021
Case Presentation: A 74 year old male with a history of atrial fibrillation on rivaroxaban was admitted to an outside hospital with a spontaneous right gluteus medius and piriformis intramuscular hematoma measuring 5.8 cm found on computerized tomography (CT). On admission, he had a hemoglobin of 7.7 gm/dL, an elevated activated partial thromboplastin time not […]
Abstract Number: 882
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 82-year-old man on chronic Warfarin presented for evaluation of spontaneous right lower extremity swelling with bruising. Workup showed hemoglobin of 9.5 g/dL, platelet of 286 K/µL, PT 47.4 seconds, INR 5.0, and PTT > 200 seconds. CT of abdomen and leg revealed intra-abdominal hemorrhage and subcutaneous hematoma of the right leg. Within the […]
Abstract Number: M45
SHM Converge 2022
Case Presentation: A 70-year-old African American woman with a past medical history of hypertension, Type II diabetes mellitus, and COPD presented to the emergency department complaining of new-onset right arm bruising and swelling with no history of trauma. The patient had been recently hospitalized a week prior for a chest pain workup that was negative. […]
Abstract Number: 1119
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 78-year-old female was referred to the ED from clinic for elevated creatinine and hyperkalemia after recent treatment of right lower extremity cellulitis with sulfamethoxazole/trimethoprim. Physical exam showed improving cellulitis and large area of ecchymosis on right wrist. The patient reports developing frequent large bruises without trauma for the previous two months. During […]