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Blood, 1953, Vol. 8, No. 7, pp. 598-608.
© 1953 American Society of Hematology, Inc.


Hemophilia-like Disease Following Pregnancy

With Transplacental Transfer of an Acquired Circulating Anticoagulant

PAUL G. FRICK M.D.1

1 Department of Medicine, University of Minnesota Hospital, Minneapolis, Minn.

1. A hemophilia-like disease acquired during the first pregnancy of a young woman, is described.

2. The clotting abnormality was caused by a circulating anticoagulant which, in all probability, inhibited the antihemophilic globulin.

3. The anticoagulant was demonstrated in the patient's second child during his first two and one-half months of life.

4. The transplacental transfer of the anticoagulant and the analogy of this condition to hemophilia (resistant to therapy) following iso-immunization against antihemophilic globulin, strongly suggest that an immunologic mechanism accounts for the development of this abnormality.

5. The patient recovered eighteen months after her second delivery and sixteen months after x-ray sterilization. The possible relation between endocrine factors and recovery is discussed.

Submitted on November 22, 1952
Accepted on February 16, 1953


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CLIN APPL THROMB HEMOSTHome page
J. J. Michiels
Acquired Hemophilia A in Women Postpartum: Clinical Manifestations, Diagnosis, and Treatment
Clinical and Applied Thrombosis/Hemostasis, April 1, 2000; 6(2): 82 - 86.
[Abstract] [PDF]



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