Factor VIII Antibodies in Rheumatoid Arthritis: Effect of Cyclophosphamide

David Green*, Patrick T. Schuette, Warren H. Wallace

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Three patients with rheumatoid arthritis had bleeding and bruising and were found to have circulating antibodies specifically directed against factor VIII. Review of the literature indicates that this is an unusual but serious complication of rheumatoid arthritis. In two of our three cases, disappearance of the factor VIII antibody coincided with the oral administration of cyclophosphamide; in the third patient, antibody titers declined several weeks after cyclophosphamide therapy was discontinued. Our collected experience involving 11 nonhemophilic patients with factor VIII antibodies indicates that a good response to cyclophosphamide therapy may be expected if the antibody titer is less than 10 Bethesda units at the initiation of treatment. While optimum treatment of these patients is not yet established, we suggest an initial trial of prednisone and, if there is no response, then therapy with cyclophosphamide.

Original languageEnglish (US)
Pages (from-to)1232-1235
Number of pages4
JournalArchives of Internal Medicine
Volume140
Issue number9
DOIs
StatePublished - Sep 1980

ASJC Scopus subject areas

  • Internal Medicine

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