Abstract

We describe a case of a 4-year-old girl with Burkitt's lymphoma, who suffered from a massive gastrointestinal hemorrhage 3 days after chemotherapy. In spite of applying the common practice in correction of coagulopathy, thrombocytopenia persisted and bleeding became life-threatening. In the present case report, we report a successful control of bleeding with a single-dose administration of a biosimilar recombinant activated human factor VII (AryoSeven).

Highlights

  • Recombinant activated human factor VII is a hemostatic agent principally licensed to treat bleeding episodes and perioperative management in hemophilia A or B adults and children with inhibitors and adults with acquired hemophilia, congenital factor VII (FVII) deficiency, and Glanzmann’s thrombasthenia

  • It is assumed that the use of rFVIIa can be beneficial in providing hemostasis in other situations characterized by massive bleedings and impaired thrombin generation [2]

  • AryoSeven is an rFVIIa recently manufactured via recombinant technology in Iran by AryoGen pharmed

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Summary

Introduction

Recombinant activated human factor VII (rFVIIa) is a hemostatic agent principally licensed to treat bleeding episodes and perioperative management in hemophilia A or B adults and children with inhibitors and adults with acquired hemophilia, congenital factor VII (FVII) deficiency, and Glanzmann’s thrombasthenia. These indications may be presented only in a small population. It is assumed that the use of rFVIIa can be beneficial in providing hemostasis in other situations characterized by massive bleedings and impaired thrombin generation [2]. We report a Burkitt’s lymphoma case suffering from a massive GI bleeding which was controlled with a single administration of AryoSeven following the unresponsive transfusion of appropriate blood products

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