Sequential thrombosis and bleeding in a woman with a prolonged activated partial thromboplastin time

<p>Abstract</p> <p>Simultaneous or sequential haemorrhage and thrombosis in the presence of a prolonged activated partial thromboplastin time (aPTT) is a rare occurrence: we describe the case a 37 year old lady who developed post-delivery deep vein thrombosis treated with low molec...

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Bibliographic Details
Main Authors: Pearce Michael I, Spencer Akpan, Ames Paul RJ
Format: Article
Language:English
Published: BMC 2011-10-01
Series:Thrombosis Journal
Subjects:
Online Access:http://www.thrombosisjournal.com/content/9/1/16
Description
Summary:<p>Abstract</p> <p>Simultaneous or sequential haemorrhage and thrombosis in the presence of a prolonged activated partial thromboplastin time (aPTT) is a rare occurrence: we describe the case a 37 year old lady who developed post-delivery deep vein thrombosis treated with low molecular heparin and warfarin followed a week later by extensive bruising over legs and forearms, a significant drop in haemoglobin and a very prolonged aPTT. Further tests revealed an acquired factor VIII inhibitor at 35 Bethesda Units. We discuss the clinical and laboratory implications and provide a literature review of simultaneous thrombophilia and haemophilia in the presence of a prolonged aPTT.</p>
ISSN:1477-9560