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Inherited factor XIII deficiency affects 1 to 3 per million people worldwide. Researchers suspect that mild factor XIII deficiency, including the acquired form of the disorder, is underdiagnosed because many affected people never have a major episode of abnormal bleeding that would lead to a diagnosis.
2005;80:301-302. Kadir RA, Kingman CE, Chi C, et al. Screening for factor XI deficiency amongst pregnant women of Ashkenazi Jewish origin. Unlike factor XI deficiency, these individuals have normal factor XI levels and do not have an increased risk of bleeding. (See "Overview of hemostasis", section on 'Deficiencies of intrinsic contact pathway proteins' and "Overview of the causes of venous thrombosis", section on 'Factor XII deficiency'.) MANAGEMENT Factor XIII Deficiency Treatments Available.
CORIFACT ®, FXIII Concentrate (Human), is indicated for routine prophylactic treatment and perioperative management of surgical bleeding in adult and pediatric patients with congenital Factor XIII deficiency. Acquired FXIII deficiency is caused by inhibitors of FXIII or decreased synthesis and/or increased consumption of FXIII, which leads to severe bleeding. Recently, we experienced a case of hemorrhagic-acquired factor XIII deficiency that occurred during treatment with the IL-6 inhibitor tocilizumab for rheumatoid arthritis. People with Factor XIII deficiency need to have preventative (prophylaxis) treatment. Preventative treatment aims to replace the missing or reduced Factor XIII with a substitute derived from human plasma. This is given regularly as an injection, sometimes into a central venous access device such as an implantable port. Congenital factor XIII (FXIII) deficiency is a rare, autosomal-recessive disorder, with most patients having an A-subunit (FXIII-A) deficiency.
Curr Opin Hematol. 1998; 5 (6): 372-375. Google Scholar.
2021-04-02
Factor XIII deficiency is an inherited bleeding disorder. The body produces less factor XIII than it should, or the factor XIII is not working properly, therefore the clotting reaction is blocked prematurely and the blood clot does not form. Drugs used to treat Factor XIII Deficiency Factor XIII (FXIII), or fibrin stabilizing factor, deficiency was first reported in the literature in 1960.
Recombinant factor XIII . Recombinant factor XIII (rFXIII) is the only drug alternative to receiving blood transfusions, the traditional treatment for factor XIII deficiency. Novo Nordisk’s rFXIII, catridecacog, was approved by the US Food and Drug Administration in 2014.
Ivaskevicius V, Seitz R, Kohler HP et al. Establishment of an International Registry of Patients with Inherited FXIII Deficiency.
While a lack of factor XII does not cause affected individuals to bleed abnormally, the blood takes longer than normal to clot in a test tube.
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The incidence is one in a million to one in five million people, with higher incidence in areas with consanguineous marriage such as Iran that has the highest global incidence of the disorder. 2015-06-01 · Acquired factor XIII deficiency, when the level drops to 20–70% , remains a doubtful entity. Low plasma levels of factor XIII activity have been reported in some conditions like inflammatory bowel disease, systemic lupus erythematosus, and rheumatoid arthritis which are characterized by the presence of autoantibodies , , . 2016-11-01 · Recombinant factor XIII: a safe and novel treatment for congenital factor XIII deficiency Blood , 119 ( 22 ) ( 2012 ) , pp.
This medication is infused (injected into a vein), usually every three to four weeks. Some patients with factor XIII deficiency can also be treated with a medication called Tretten®, which is also infused.
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Historically, treatment for FXIII deficiency initially centered on cryoprecipitate and fresh frozen plasma. As the half- life of endogenous FXIII is long, ranging from 5 to 11 days, prophylactic therapy with fresh frozen plasma in doses of 10 mL per kg could be given every 4–6 weeks to prevent spontaneous bleeding, particularly intracranial hemorrhage.