Source:http://linkedlifedata.com/resource/pubmed/id/21471523
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
23
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pubmed:dateCreated |
2011-6-10
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pubmed:abstractText |
The age-adjusted incidence of new factor VIII inhibitors was analyzed in all United Kingdom patients with severe hemophilia A between 1990 and 2009. Three hundred fifteen new inhibitors were reported to the National Hemophilia Database in 2528 patients with severe hemophilia who were followed up for a median (interquartile range) of 12 (4-19) years. One hundred sixty (51%) of these arose in patients ? 5 years of age after a median (interquartile range) of 6 (4-11) years' follow-up. The incidence of new inhibitors was 64.29 per 1000 treatment-years in patients < 5 years of age and 5.31 per 1000 treatment-years at age 10-49 years, rising significantly (P = .01) to 10.49 per 1000 treatment-years in patients more than 60 years of age. Factor VIII inhibitors arise in patients with hemophilia A throughout life with a bimodal risk, being greatest in early childhood and in old age. HIV was associated with significantly fewer new inhibitors. The inhibitor incidence rate ratio in HIV-seropositive patients was 0.32 times that observed in HIV-seronegative patients (P < .001). Further study is required to explore the natural history of later-onset factor VIII inhibitors and to investigate other potential risk factors for inhibitor development in previously treated patients.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1528-0020
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pubmed:author |
pubmed-author:ChalmersElizabethE,
pubmed-author:CollinsPeter WPW,
pubmed-author:HayCharles R MCR,
pubmed-author:LiesnerRiR,
pubmed-author:MacleanRhonaR,
pubmed-author:PalmerBenB,
pubmed-author:RangarajanSavitaS,
pubmed-author:United Kingdom Haemophilia Centre Doctors' Organisation (UKHCDO),
pubmed-author:WilliamsMichaelM
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pubmed:issnType |
Electronic
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pubmed:day |
9
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pubmed:volume |
117
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
6367-70
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pubmed:meshHeading |
pubmed-meshheading:21471523-Adolescent,
pubmed-meshheading:21471523-Adult,
pubmed-meshheading:21471523-Age Factors,
pubmed-meshheading:21471523-Blood Coagulation Factor Inhibitors,
pubmed-meshheading:21471523-Child,
pubmed-meshheading:21471523-Child, Preschool,
pubmed-meshheading:21471523-Databases, Factual,
pubmed-meshheading:21471523-Factor VIII,
pubmed-meshheading:21471523-Female,
pubmed-meshheading:21471523-Great Britain,
pubmed-meshheading:21471523-HIV Seropositivity,
pubmed-meshheading:21471523-Hemophilia A,
pubmed-meshheading:21471523-Humans,
pubmed-meshheading:21471523-Incidence,
pubmed-meshheading:21471523-Male,
pubmed-meshheading:21471523-Retrospective Studies,
pubmed-meshheading:21471523-Risk Factors
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pubmed:year |
2011
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pubmed:articleTitle |
Incidence of factor VIII inhibitors throughout life in severe hemophilia A in the United Kingdom.
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pubmed:affiliation |
Manchester University Department of Haematology, Manchester Royal Infirmary, Manchester, UK. Charles.Hay@cmft.nhs.uk
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pubmed:publicationType |
Journal Article
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