Hemophilia A (Factor VIII Deficiency).
Gene therapy
Hemarthrosis
Inhibitors
Nonfactor therapy
Ultrasound
prophylaxis
Journal
Hematology/oncology clinics of North America
ISSN: 1558-1977
Titre abrégé: Hematol Oncol Clin North Am
Pays: United States
ID NLM: 8709473
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
pubmed:
15
8
2021
medline:
3
3
2022
entrez:
14
8
2021
Statut:
ppublish
Résumé
Remarkable changes are occurring in the diagnosis and management of individuals with hemophilia A. Genetic testing, including next-generation sequencing, enables family planning, carrier testing, and prenatal diagnosis. Musculoskeletal ultrasound examination facilitates the early detection of acute bleeds and joint disease in clinic, enabling more rapid bleed resolution and treatment planning. Novel therapies offer simpler weekly or monthly administration, some by subcutaneous injection, with better compliance and quality of life, as well as fewer bleeds. Gene therapy provides a 1-time phenotypic "cure" that is cost effective, but may be complicated by waning levels, vector immune responses, and hepatotoxicity.
Identifiants
pubmed: 34389199
pii: S0889-8588(21)00085-X
doi: 10.1016/j.hoc.2021.07.006
pii:
doi:
Substances chimiques
Factor VIII
9001-27-8
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1117-1129Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.