Case Reports
Vol. 2 No. 1 (2023)
A case of acquired factor XIII deficiency secondary to plasmablastic lymphoma
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Received: 25 October 2022
Accepted: 20 February 2023
Accepted: 20 February 2023
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Acquired factor XIII (FXIII) deficiency is an extremely rare and potentially fatal bleeding disorder. Immune-mediated FXIII deficiency is due to the development of anti-FXIII autoantibodies which may develop with concomitant conditions that cause immune dysregulation such as malignancies or autoimmune disorders. Clinical presentation includes delayed post-operative bleeding or spontaneous soft tissue hematomas and/or cerebral bleeding. Since screening coagulation laboratory tests (prothrombin time, activated partial thromboplastin time, and fibrinogen) are typically normal, acquired FXIII deficiency is likely to be overlooked and underdiagnosed. The management of immune-mediated FXIII deficiency is based on hemostatic therapy, autoantibody removal and eradication of the underlying etiology; however, no treatment guidelines are still available. Here we report a case of acquired FXIII deficiency associated with plasmablastic lymphoma, in order to raise awareness of this rare bleeding disorder and consent prompt life-saving management.
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Citations
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How to Cite
1.
Sammartano V, Santoni A, Zappone E, Calzoni P, Fineschi D, Franceschini E, et al. A case of acquired factor XIII deficiency secondary to plasmablastic lymphoma. Bleeding Thromb Vascul Biol [Internet]. 2023 Mar. 9 [cited 2025 Sep. 16];2(1). Available from: https://www.btvb.org/btvb/article/view/53
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