Learn about Autoimmune Hemophilia Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Autoimmune Hemophilia and request assistance for cost estimates or appointments.

About Autoimmune Hemophilia

Autoimmune hemophilia, also known as acquired hemophilia A, is a rare but serious bleeding disorder managed by a hematologist. Unlike congenital hemophilia, it occurs when the body's immune system mistakenly produces antibodies (inhibitors) that attack clotting factor VIII, a crucial protein for blood coagulation. This leads to spontaneous and often severe bleeding into muscles, skin, and soft tissues. The hematologist's role involves a comprehensive diagnostic workup, including mixing studies and Bethesda assays to confirm the inhibitor, followed by a two-pronged treatment strategy. This strategy focuses on controlling acute bleeding episodes with bypassing agents and eradicating the autoantibodies through immunosuppressive therapy to achieve long-term remission.

Key Highlights

    Managed by specialized hematologists with expertise in complex bleeding disorders.Treatment aims for dual goals: immediate bleeding control and long-term antibody eradication.Utilizes targeted therapies to bypass the immune system's attack on clotting factors.Can lead to complete remission, restoring normal coagulation function.Involves a personalized treatment plan based on bleeding severity and inhibitor titer.

Who is this surgery for?

  • Unexplained, spontaneous bleeding episodes (e.g., large bruises, muscle hematomas, mucosal bleeding).
  • Prolonged bleeding after surgery, trauma, or childbirth without a prior bleeding history.
  • Isolated prolonged activated partial thromboplastin time (aPTT) that does not correct with mixing studies.
  • Suspicion of an acquired inhibitor to clotting factor VIII confirmed by laboratory tests like the Bethesda assay.
  • Bleeding unresponsive to standard hemostatic measures in patients without congenital hemophilia.

How to prepare

  • Comprehensive hematological consultation and review of full medical history.
  • Blood tests including complete blood count (CBC), coagulation profile (PT/INR, aPTT), and specific factor assays.
  • Inhibitor screening and quantification (Bethesda or Nijmegen-modified Bethesda assay).
  • Imaging (e.g., ultrasound, MRI) may be needed to assess the extent of internal bleeding.
  • Discussion of treatment options, including immunosuppressive risks, and obtaining informed consent.
  • Planning for potential hospital admission for severe bleeding or initiation of intensive therapy.

Risks & possible complications

  • Risk of severe, life-threatening bleeding (e.g., retroperitoneal, intracranial).
  • Complications from immunosuppressive therapy: increased infection risk, organ toxicity, and secondary malignancies.
  • Anaphylactic or thrombotic reactions to bypassing agents used for bleeding control.
  • Treatment failure or relapse where the inhibitor persists or returns.
  • Side effects like hypertension, hyperglycemia, or mood changes from corticosteroids.

Recovery & hospital stay

  • Acute Phase: Hospital monitoring until bleeding is controlled; regular checks of hemoglobin and coagulation parameters.
  • Immunosuppression Phase: Outpatient management with frequent follow-ups to monitor treatment response and side effects.
  • Regular laboratory monitoring (aPTT, inhibitor titer) to assess remission status.
  • Gradual tapering of immunosuppressive medications under hematologist guidance over several months.
  • Avoidance of high-risk activities and medications (like NSAIDs) that can promote bleeding until remission is stable.
  • Long-term follow-up is essential to detect and manage potential relapses early.
  • checked Typical hospital stay: 5-14 days
  • checked Expected recovery time: 3-6 months for immunosuppressive therapy course and stabilization

Frequently Asked Questions

If you are considering autoimmune hemophilia in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for autoimmune hemophilia compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 150 Thousand – 800 Thousand 5-14 days ~ 3-6 months for immunosuppressive therapy course and stabilization Know More
Turkey TRY 525 Thousand – 2.8 Million 5-14 days ~ 3-6 months for immunosuppressive therapy course and stabilization Know More

Top hospitals for Autoimmune Hemophilia in India

These partner hospitals in India have dedicated hematology teams and experience managing patients undergoing autoimmune hemophilia.

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Manipal Hospital Ranchi

  • IconRanchi, India
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PATIENT REVIEW

Neha Ali, a 28-year-old graphic designer...

Neha Ali, a 28-year-old graphic designer and avid hiker, began noticing large, painful bruises appearing on her legs without any injury. Over several weeks, she experienced frequent nosebleeds that were difficult to stop and prolonged bleeding from minor cuts. Her menstrual periods became unusually heavy and debilitating. After visiting her primary care physician, she was referred to hematologist Dr. Chen. Blood tests revealed a high level of Factor VIII inhibitors, leading to a diagnosis of Acquired Hemophilia A, an autoimmune condition where her immune system was attacking her own clotting factors. Dr. recommended immunosuppressive therapy to eliminate the antibodies. Neha underwent treatment with rituximab and corticosteroids over several months. The infusions were time-consuming and caused fatigue and occasional nausea. Post-treatment, repeat testing showed her inhibitor levels had dropped significantly, and her bleeding episodes became rare and manageable. Her bruising resolved. Emotionally, Neha was initially terrified by the unpredictability of her bleeding and the impact on her active lifestyle. She felt isolated and anxious. After successful treatment, she felt a profound sense of relief and regained control. She returned to hiking, though with a new appreciation for her health and a cautious awareness of her body's signals.

Hematologists for Autoimmune Hemophilia

Explore experienced hematologists who regularly perform autoimmune hemophilia and provide pre- and post-operative care in India.

Dr. Joseph Rajendran
  • 11 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 750
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Mallikarjun Kalashetty
  • 14 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Giripunja M
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Abhijit Baheti
  • 10 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 550
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Kharadi, Pune

OPD-desk synced • Updated
Dr. Satish Kumar A Kumar
  • 18 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Rajendra Pol
  • 21 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner, Pune

OPD-desk synced • Updated
Dr. Nakul Dilip Tikare
  • 14 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa , Panaji

OPD-desk synced • Updated
Dr. Satish Kumar A
  • 27 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Millers Road, Bangalore

OPD-desk synced • Updated
Dr. Prashanth B
  • 16 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus KMC Hospital Mangalore, Mangalore

OPD-desk synced • Updated
Dr. Maitreyee Bhattacharyya
  • 24 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur, Kolkata

OPD-desk synced • Updated
Dr. Maitrayee Bhattacharya
  • 10 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 2000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

OPD-desk synced • Updated
Dr. Jasashwi Chakraborty
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1200
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria, Kolkata

OPD-desk synced • Updated
Dr. J Jhansi
  • 8 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Varthur Road, Bangalore

OPD-desk synced • Updated
Dr. Sumit Mitra
  • 13 Years Experience
  • Hematologist
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospitals Broadway, Kolkata

OPD-desk synced • Updated