Orthopedic manifestations of acquired hemophilia: a case report on uncontrolled bleeding and progressive swelling post-phlebotomy- should fasciotomy be considered?
This case underscores the importance of considering AHA in patients with ACS-like symptoms and unexplained prolonged activated Partial Thromboplastin Time (aPTT), even without bleeding history. It also highlights the need to investigate any unexplained aPTT prolongation before surgical interventions. Collaboration between orthopedic surgeons and hematologists is essential for optimizing outcomes. Approaching to algorithms for non-traumatic ACS in AHA is an important step. Prompt intervention, patient education, and tailored treatment strategies are crucial for preventing severe complications and optimizing patient outcomes.
Authors
- Mehran Mottahedi (ORCID: https://orcid.org/0000-0003-0406-8670)
- Parmida Shahbazi (ORCID: https://orcid.org/0000-0002-3153-6153)
- Elham Nazar (ORCID: https://orcid.org/0000-0001-6182-3893)
- Parham Talebian (ORCID: https://orcid.org/0000-0001-5845-6308)
- Mohammad Soleimani (ORCID: https://orcid.org/0000-0002-3149-3544)
Institutions
- Sina Hospital (IR)
- Razi Hospital (IR)
- Tehran University of Medical Sciences (IR)
Publication Details
- Journal
- BMC Musculoskeletal Disorders
- Published
- 2025-12-18
- DOI
- https://doi.org/10.1186/s12891-025-09405-1
- Primary Topic
- Hemophilia Treatment and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00