Acquired haemophilia A in a patient who is a Jehovah's Witness

We detail the case of a man in his 80s who was a Jehovah's Witness, presenting to hospital for the second time in 1 week with atraumatic, severe bruising affecting his right thigh and flank. He was subsequently diagnosed with idiopathic acquired haemophilia A (AHA) and was urgently treated with recombinant factor concentrate and immunosuppressive therapy. Management of his bleeding disorder and resultant severe anaemia was adapted in line with his religious beliefs. AHA is a rare bleeding disorder which should be considered in patients with an isolated prolonged activated partial thromboplastin time and a history of recent or acute bleeding. Prompt diagnosis and management are essential as delays may result in increased mortality. Given that this patient declined blood transfusion, management of his bleeding disorder presented a unique challenge.

Automated summary

This article details the case of an elderly Jehovah's Witness man who presented to the hospital with severe bruising. He was diagnosed with idiopathic acquired haemophilia A and managed with factor concentrate and immunosuppressive therapy. The article highlights the importance of prompt diagnosis and management, as well as the unique challenges in treating a patient who declined blood transfusion.