Evidence map›Paper›PMID 42670394›Full record

ArticleCureus2026

Acquired Hemophilia A in an Elderly Patient Receiving Clopidogrel: Drug-Induced or Age-Associated Autoimmunity?

Akhil Mohanachandran Pushpaleela, Rahil Omar Tai Valappil, Ayshath Hansiya, Siobhan Lewis

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Akhil Mohanachandran PushpaleelaAcute Medicine, Cardiff and Vale University Health Board, Cardiff, GBR.
Rahil Omar Tai ValappilGeneral Medicine, Cardiff and Vale University Health Board, Cardiff, GBR.
Ayshath HansiyaAcute Medicine, Cardiff and Vale University Health Board, Cardiff, GBR.
Siobhan LewisGeriatrics, Cardiff and Vale University Health Board, Cardiff, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acquired haemophilia A (AHA) is a rare but potentially life-threatening autoimmune bleeding disorder caused by autoantibodies against factor VIII. Its presentation is often non-specific and can mimic more common causes of bleeding, leading to delayed diagnosis, particularly in elderly patients. We report the case of a 93-year-old man with multiple comorbidities who presented with spontaneous, extensive bruising and haemorrhagic complications. Laboratory evaluation demonstrated findings consistent with AHA, including isolated prolongation of the activated partial thromboplastin time (aPTT), reduced factor VIII activity, and the presence of factor VIII inhibitors. The patient received haematology-directed treatment; however, his clinical course was complicated, and he ultimately died. This case highlights the importance of maintaining a high index of suspicion for AHA in elderly patients presenting with unexplained bleeding and emphasises the need for prompt diagnosis and early multidisciplinary management.

Indexed as

acquired coagulation disorderacquired haemophilia acase reportclopidogrelelderly patientfactor viii inhibitorhaemorrhagic complicationsspontaneous bleeding

Identifiers

PMID42670394
PMCPMC13526308

What OpenQuestion holds

Textmetadata
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.