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Bruise easily
Bleeding/bruising in the joints
Rashes
Purplish rash
Bleeding nose
Redness of the skin
Black stools
Blood in vomit
Blood in urine
Joint pain or stiffness
Bright red vomit
Severe headaches
Not seeing your symptoms? No worries!
Acquired hemophilia is a rare autoimmune disorder causing bleeding tendencies due to the development of antibodies against clotting factors.
Your doctor may ask these questions to check for this disease:
Treatment focuses on managing bleeding episodes and addressing the underlying cause. Treatment options may include immune therapy to suppress the abnormal antibodies, desmopressin for mild cases, and factor replacement therapies.
Reviewed By:
Kaito Nakamura, MD (Rheumatology)
Dr. Nakamura is a rheumatologist who has practiced in the Ota Nishinouchi Hospital attached to Ota General Hospital, National Health Insurance Matsudo City Hospital, Chiba University Hospital, and the National Health Insurance Asahi Central Hospital.
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Content updated on Jan 23, 2025
Following the Medical Content Editorial Policy
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Q.
Bleeding Won’t Stop? Why Hemophilia Occurs & Medically Approved Next Steps
A.
Persistent bleeding can signal hemophilia, which occurs when clotting factors are missing or blocked, most often from inherited factor VIII or IX deficiency and sometimes from an immune problem that develops later in life. There are several factors to consider; see below for key symptoms, risk clues, urgent red flags, and medically approved treatments including factor replacement, newer non factor medicines, and immune therapy for acquired cases, any of which can change your next steps. If bleeding does not stop after 10 to 15 minutes of firm pressure or follows a head injury, seek urgent care now.
References:
* Arai M. Hemophilia: a review of current knowledge and management. J Blood Med. 2023 Apr 5;14:263-275. doi: 10.2147/JBM.S397063. PMID: 37021577; PMCID: PMC10087790.
* Ma A, Moores M, Ragni MV. Current and future treatment options for patients with hemophilia. Blood Adv. 2021 Apr 22;5(8):2268-2281. doi: 10.1182/bloodadvances.2020002047. PMID: 33945890; PMCID: PMC8086082.
* Lillo E, Ruz-Barría S, Contreras V, Castro V, Varas-Godoy M, Valdés-Gallegos V. Hemophilia: Current Genetic Diagnosis and New Therapeutic Targets. Cells. 2022 Aug 4;11(15):2400. doi: 10.3390/cells11152400. PMID: 35955685; PMCID: PMC9367469.
* Srivastava A, Santagostino E, Dougall A, Kitchen S, Sutherland M, Pipe SW, Carcao M, Mahlangu J, Ragni MV, Windyga J, Llinas A, Goddard NJ, Mohan R, Poonnoose PM, Chalmers E, Salazar E, Horowitz MS, Chuansumrit A, Kandula V, Batt R, Krishnan S, Soucie JM, Bussell J, Hoots WK; WFH Guidelines for the Management of Hemophilia Panel. WFH Guidelines for the Management of Hemophilia, 3rd edition. Haemophilia. 2020 Aug;26 Suppl 6:1-158. doi: 10.1111/hae.14046. PMID: 36319139.
* Ronsoni M, Cavallaro S, Boffi M, Mancuso ME, Peyvandi F. Emerging Therapies in Hemophilia: Advances and Challenges. J Clin Med. 2023 Aug 24;12(17):5490. doi: 10.3390/jcm12175490. PMID: 37624794; PMCID: PMC10488669.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1NORD
https://rarediseases.org/rare-diseases/acquired-hemophilia/Kulkarni R, Soucie JM. Pediatric hemophilia: a review. Semin Thromb Hemost. 2011 Oct;37(7):737-44. doi: 10.1055/s-0031-1297164. Epub 2011 Dec 20. PMID: 22187396.
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0031-1297164Nathwani AC. Gene therapy for hemophilia. Hematology Am Soc Hematol Educ Program. 2019 Dec 6;2019(1):1-8. doi: 10.1182/hematology.2019000007. PMID: 31808868; PMCID: PMC6913446.
https://ashpublications.org/hematology/article/2019/1/1/422595/Gene-therapy-for-hemophiliaMehta P, Reddivari AKR. Hemophilia. [Updated 2023 Jun 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
https://www.ncbi.nlm.nih.gov/books/NBK551607/Pishko AM, Doshi BS. Acquired Hemophilia A: Current Guidance and Experience from Clinical Practice. J Blood Med. 2022 May 11;13:255-265. doi: 10.2147/JBM.S284804. PMID: 35592586; PMCID: PMC9112043.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9112043/