We report here 2 cases of elderly patients who were admitted to our De
partment of Geriatrics for a hemorrhagic syndrome. The patients were f
ound to be affected by a coagulopathy with prolonged activated partial
thromboplastin time (aPTT), caused by the presence of an acquired inh
ibitor of Factor VIII. This syndrome, due to anti-Factor VIII antibodi
es, is surely an important clinical entity that is not easy to diagnos
ed, but in concomitance with a hemorrhagic syndrome and prolonged aPPT
it should always be suspected. In fact, a quick diagnosis is very imp
ortant in order to apply specific treatment as soon as possible.