Diffuse alveolar hemorrhage and recombinant factor VIIa treatment in pediatric patients / 소아과
Korean Journal of Pediatrics
; : 105-113, 2016.
Article
in En
| WPRIM
| ID: wpr-128909
Responsible library:
WPRO
ABSTRACT
Diffuse alveolar hemorrhage (DAH) is a life-threatening pulmonary complication in patients with hematologic malignancies or autoimmune disorders. The current treatment options, which include corticosteroids, transfusions, extracorporeal membrane oxygenation (ECMO), and immunosuppressants, have been limited and largely unsuccessful. Recombinant activated factor VII (rFVIIa) has been successfully administered, either systemically or bronchoscopically, to adults for the treatment of DAH, but there are few data on its use in pediatric patients. The current literature in the PubMed database was reviewed to evaluate the efficacy and risk of rFVIIa treatment for DAH in pediatric patients. This review discusses the diagnosis and treatment of DAH, as well as a new treatment paradigm that includes rFVIIa. Additionally, the risks and benefits of off-label use of rFVIIa in pediatric patients are discussed.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Extracorporeal Membrane Oxygenation
/
Factor VIIa
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Adrenal Cortex Hormones
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Risk Assessment
/
Hematologic Neoplasms
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Diagnosis
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Off-Label Use
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Hemorrhage
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Immunosuppressive Agents
Type of study:
Diagnostic_studies
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Etiology_studies
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Risk_factors_studies
Limits:
Adult
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Child
/
Humans
Language:
En
Journal:
Korean Journal of Pediatrics
Year:
2016
Type:
Article