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Acquired factor VIII inhibitor associated with chronic interferon-alpha therapy.
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1994
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ImmunologyPathologyPharmacotherapyImmunotherapyInflammationThrombosisTranslational MedicineIfn-alpha TherapyBone Marrow FailureHematologyAutoantibodiesAntibody InhibitorCell TransplantationChronic Interferon-alpha TherapyTransplantationAutoimmune DiseaseAutoimmunityImmunologic DiseaseMyelopoiesisMalignant Blood DisorderMultiple MyelomaCoagulopathyMedicine
Therapeutic use of interferon-alpha (IFN-alpha) has been associated with the development of a variety of autoimmune disorders. We describe a patient who received chronic treatment with IFN-alpha following autologous bone marrow transplantation for multiple myeloma. The patient developed an antibody inhibitor directed against factor VIII coagulant protein (FVIIIC) leading to a fatal hemorrhagic diathesis. The association between IFN-alpha therapy and autoimmune complications deserves wider recognition and further study.