The occurrence of an acquired inhibitor of F VIII coagulant activity i
s a rare cause of a sometimes important bleeding diathesis. Antibodies
against F VIII:C can spontaneously occur, mostly in elderly patients.
Four elderly patients with such a typical clinical and biological syn
drome are reported. No identifiable underlying disease was found and t
hey responded favourably to an immunosuppressive treatment. In one pat
ient plasmapheresis was successful.