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Correspondence
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Volume 361:308-310 July 16, 2009 Number 3
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Inhibitors of Factor VIII in Hemophilia

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 by Viel, K. R.
-PubMed Citation
To the Editor: Viel et al. (April 16 issue)1 propose that treatment of hemophilia A with factor VIII that is matched for polymorphic variants may reduce the risk of the development of factor VIII inhibitors. Their study included patients with different types of causative mutations and disease severity. We believe that stratification of patients according to the presence or absence of factor VIII protein, whether it is functional or not, may be more suitable than evaluation of mismatched factor VIII as a risk factor for the development of inhibitors.

Mismatched replacement therapy appears to be a risk factor in patients . . . [Full Text of this Article]




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