Diagnosis, therapeutic advances, and key recommendations for the management of factor X deficiency
Articles > Article · 2021
Authors: Flora Peyvandi, Guenter Auerswald, Steven K. Austin, Ri Liesner, Kaan Kavakli, Maria Teresa Álvarez Román, Carolyn M. Millar
Blood Reviews, International, WoS, 2021, vol 50, pp 100833-100833
DOI: 10.1016/j.blre.2021.100833
Summary
Factor X deficiency is a rare coagulation disorder that can be hereditary or acquired. The typology and severity of the associated bleeding symptoms are highly heterogeneous, adding to the difficulties of diagnosis and management. Evidence-based guidelines and reviews on factor X deficiency are generally limited to publications covering a range of rare bleeding disorders. Here we provide a comprehensive review of the literature on factor X deficiency, focusing on the hereditary form, and discuss the evolution in disease management and the evidence associated with available treatment options. Current recommendations advise clinicians to use single-factor replacement therapy for hereditary disease rather than multifactor therapies such as fresh frozen plasma, cryoprecipitate, and prothrombin complex concentrates. Consensus in treatment guidelines is still urgently needed to ensure optimal management of patients with factor X deficiency across the spectrum of disease severity.