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 [...]

Case Presentation: A 65-year-old male underwent vascular repair for a psuedoaneurysm of left brachiocephalic arteriovenous fistula. During surgery he was noted to have excessive bleeding and also postoperatively, he continued to ooze from the surgical site. His labs revealed PT of 33.5 seconds, INR of 3.3, and PTT of 53.7 seconds. His mixing studies showed [...]

Case Presentation: 46 year-old-female with past medical history of hypertension, Factor VII(FVII) deficiency, morbid obesity, thoracic spine stenosis presented with bilateral lower extremity weakness. Computed Tomography (CT) myelogram showed severe canal stenosis with spinal cord compression at Thoracic(T)10-11 and T11-12 levels and the spine team was planning surgery. Pre-operative labs showed prothrombin time(PT) of 21.2 [...]