Article
Factor IX p.A37V mutation causes severe bleeding in a patient with phenprocoumon therapy.
European journal of medical research - 29 Jun 2021
Mülling Nils, Rosery Vivian, Reinhardt H Christian, Hanoun Maher
Abstract excerpt
BACKGROUND: Bleeding is the most common complication of oral anticoagulants, due to inadequate dosing. CASE PRESENTATION: This report describes the clinical course of a patient who developed severe bleeding under therapy with phenprocoumon, despite an INR in the lower therapeutic range. Strikingly, aPTT was prolonged, while factor IX activity was significantly reduced. Acquired hemophilia was excluded, due to...
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