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Successful treatment of an acquired haemorrhagic diathesis due to factor X deficiency with chemotherapy

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Abstract: A 70-yr-old woman presented with a severe haemorrhagic diathesis due to an acquired factor X deficiency. A plasma infusion study showed that exogenous factor X was eliminated very effectively from the patient's circulation. A bone marrow biopsy was consistent with plasma cell dyscrasia. Neither an abdominal fat biopsy nor the bone marrow biopsy confirmed an amyloidosis, although clinically no other diagnosis seemed possible. Treatment with intermittent chemotherapy, consisting of vincristine, cytoxan and prednisone, yielded definite clinical and laboratory improvement.
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Keywords: acquired factor X deficiency; amyloidosis; chemotherapy; plasma cell dyscrasia

Document Type: Research Article

Affiliations: 1: Internal Medicine and 2: Clinical Chemistry, Bronovo Hospital, The Hague and 3: Laboratory of Pathology, Leiden University Medical Centre, Leiden

Publication date: May 1, 2001

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