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
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

1117-1129

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Auteurs

Craig D Seaman (CD)

Department of Medicine, Division Hematology/Oncology, University of Pittsburgh Medical Center, 3636 Boulevard of the Allies, Pittsburgh, PA 15213-4306, USA.

Frederico Xavier (F)

Department of Pediatrics, Division Hematology/Oncology, University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.

Margaret V Ragni (MV)

Medicine and Clinical Translational Research, Department of Medicine, Division Hematology/Oncology, University of Pittsburgh Medical Center, Hemophilia Center of Western Pennsylvania, 3636 Boulevard of the Allies, Pittsburgh, PA 15213-4306, USA. Electronic address: ragni@pitt.edu.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH