Evidence map›Paper›PMID 39307909›Full record

ReviewGeroScience2025

Acquired hemophilia A as a disease of the elderly: A comprehensive review of epidemiology, pathogenesis, and novel therapy.

Andrea Lehoczki, Mónika Fekete, Gábor Mikala, Imre Bodó

Abstract readReview
In one paragraph

Review in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Acquired Hemophilia-A Case Series and Review.Journal of clinical medicine · 2025
    Review
  10. Review
  11. Article
  12. Living With Acquired Haemophilia: Patients' and Relatives' Experiences - A Single-Centre Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andrea LehoczkiDoctoral College, Health Sciences Program, Semmelweis University, Budapest, Hungary. lehoczki.andrea@semmelweis.hu.ORCID 0000-0002-4285-7518
Mónika FeketeDoctoral College, Health Sciences Program, Semmelweis University, Budapest, Hungary.
Gábor MikalaDoctoral College, Health Sciences Program, Semmelweis University, Budapest, Hungary.
Imre BodóDoctoral College, Health Sciences Program, Semmelweis University, Budapest, Hungary.

Funding

National Research, Development and Innovation Fund RRF-2.3.1-21-2022-00003
6 · The paper itself

Abstract

Acquired hemophilia A (AHA) is a rare autoimmune bleeding disorder characterized by the development of neutralizing autoantibodies (inhibitors) against coagulation factor VIII (FVIII). This review provides an in-depth exploration of AHA, covering its epidemiology, pathogenesis, clinical presentation, diagnosis, complications, and treatment strategies, focusing on recent advancements. AHA can manifest in both men and women with no prior bleeding history. The annual incidence is estimated to be approximately 1 case per million individuals in the general population. The incidence increases significantly with age: the incidence among individuals aged 60 years or older is approximately 3 to 4 cases per million individuals per year. Typically, patients present with an acquired bleeding disorder that is characterized by an isolated, prolonged activated partial thromboplastin time stemming from FVIII deficiency. Diagnosis relies on the detection of neutralizing antibodies using the Nijmegen-modified Bethesda assay. Hemostatic control strategies involve bypassing agents like recombinant activated factor VII, activated prothrombin complex concentrate, and recombinant porcine FVIII for bleeding patients. Emicizumab, a novel bypassing agent, exhibits several potential advantages. In the realm of immunosuppressive treatment for inhibitor eradication, the CyDRi regimen emerged as a remarkable advancement, significantly enhancing the outlook for the management of AHA even in the elderly frail population.

Indexed as

Hemophilia AAgedAntibodies, BispecificAntibodies, Monoclonal, HumanizedAutoantibodiesFactor VIIIFemaleHumansIncidenceMaleMiddle AgedAntibodies, BispecificAntibodies, Monoclonal, HumanizedAutoantibodiesemicizumabFactor VIIIAcquired hemophilia AAge-relatedAgingAHAAutoantibodyAutoimmuneAutoimmunityBleedingCoagulopathy

Identifiers

PMID39307909
PMCPMC11872964

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.