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REVIEW ARTICLE
Korean J Pediatr 2016 March;59(3) :105-113.
Published online 2016 March 15.       
Diffuse alveolar hemorrhage and recombinant factor VIIa treatment in pediatric patients
Jeong A Park
Department of Pediatrics, Inje University Haeundae-Paik Hospital, Inje University College of Medicine, Busan, Korea
Corresponding Author: Jeong A Park ,Tel: +82-51-797-2000, Fax: +82-51-797-2114, Email: jeonga95@paik.ac.kr
Copyright © 2016 by The Korean Pediatric Society
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.
Keywords: Child | Diffuse alveolar hemorrhage | Recombinant factor VIIa | Vasculitis Thrombosis
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