26 September 2026
: Case report 
When A Fall Isn’t Just a Fall: Delayed Diagnosis of Acquired Hemophilia A in a Nonagenarian Patient
Mistake in diagnosis, Rare disease
Swati Gobhil BCDEF 1*, Arjun Khunger BCDEF 1, Prajeesh Kandoth Karerat BCDEF 1DOI: 10.12659/AJCR.954126
Am J Case Rep 2026; 27:e954126
Figure 2 Clinical timeline showing the patient’s sequential hospitalizations, key diagnostic findings, treatment interventions, and clinical response. The timeline highlights 2 missed opportunities for coagulation testing prior to diagnosis of acquired hemophilia A. Factor VIII deficiency was confirmed via a high inhibitor titer and subsequent clinical improvement after initiation of appropriate therapy. aPTT, activated partial thromboplastin time; FVIII, factor VIII; BU, Bethesda units; rFVIIa, recombinant activated factor VII; FEIBA, factor 8 inhibitor bypassing activity (activated prothrombin complex concentrate); MRI, magnetic resonance imaging; PRBCs, packed red blood cells; ADLs, activities of daily living.