Dysfibrinogenemia and thrombosis. A case report

Congenital dysfibrinogenemia is a functional disorder of the fibrinogen that represents a rare cause of thrombophilia. To report a Tunisian case of the association dysfibrinogenemia and thrombosis. A woman with inherited dysfibrinogenemia associated with mild tendency to bleeding experienced a deep...

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Veröffentlicht in:Tunisie Medicale 2010-10, Vol.88 (10), p.757-760
Hauptverfasser: Kraiem, Imen, Guermazi, Sami, Ben Abid, Héla, Meddeb, Balkis
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creator Kraiem, Imen
Guermazi, Sami
Ben Abid, Héla
Meddeb, Balkis
description Congenital dysfibrinogenemia is a functional disorder of the fibrinogen that represents a rare cause of thrombophilia. To report a Tunisian case of the association dysfibrinogenemia and thrombosis. A woman with inherited dysfibrinogenemia associated with mild tendency to bleeding experienced a deep vein thrombosis of the lower-extremity at 26 years of age and a fatal pulmonary embolism a few years later. Paradoxically coagulation function of fibrinogen was markedly altered in vitro with a significantly prolonged prothrombin time, activated partial thromboplastin time and thrombin time, a functional fibrinogen level that was undetected and a severely impaired fibrin polymerisation. The thromboembolic events in the patient could be related to dysfibrinogenemia since the main causes of thrombophilia were excluded. Although it is rare, this cause of thrombophilia must not be misdiagnosed, systematic measuring of prothrombin time, activated partial thromboplastin time and functional fibrinogen might be helpful.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Afibrinogenemia
Afibrinogenemia - complications
Biochemistry, Molecular Biology
Fatal Outcome
Female
Fibrinogens, Abnormal
Fibrinogens, Abnormal - genetics
Humans
Life Sciences
Pulmonary Embolism
Pulmonary Embolism - etiology
Thrombophilia
Thrombophilia - complications
Venous Thrombosis
Venous Thrombosis - blood
title Dysfibrinogenemia and thrombosis. A case report
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