Authors: Mary A. Williamson Mt(ascp) Phd,L. Michael Snyder Md
Acquired: Acquired anti–factor VIII autoantibodies in previously unaffected individuals; acquired anti–factor VIII alloantibodies in multiply transfused hemophilia A patients; DIC and pathologic fibrinolysis
Factor IX
Congenital: hemophilia B:X-linked transmission
Acquired: liver disease, vitamin K deficiency or use of vitamin K antagonists, nephrotic syndrome, amyloidosis, autoantibodies to factor IX in previously healthy individuals (extremely rare), alloantibodies in hemophilia B patients treated with factor IX infusions
Factor X
Congenital: rare autosomal recessive defect. Homozygotes may have a bleeding diathesis.
Acquired: severe liver disease; vitamin K deficiency or use of vitamin K antagonists, DIC, amyloidosis
Factor XI
Congenital: autosomal recessive inheritance; mild bleeding diathesis if markedly decreased
Factor XIII
Congenital: severe bleeding in homozygous state; impaired wound healing
Acquired: liver disease; acute promyelocytic leukemia; autoantibodies against factor XIII
Limitations