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Hyperthyroidism and Venous Thrombosis: A Casual or Causal Association? A Systematic Literature Review
被引:44
作者:
Franchini, Massimo
[1
]
Lippi, Giuseppe
[2
]
Targher, Giovanni
[3
]
机构:
[1] Univ Hosp Parma, Dept Pathol & Lab Med, Immunohematol & Transfus Ctr, Parma, Italy
[2] Univ Hosp Parma, Dept Pathol & Lab Med, Clin Chem Lab, Parma, Italy
[3] Univ Verona, Endocrinol Sect, Dept Biomed & Surg Sci, I-37100 Verona, Italy
关键词:
venous thrombosis;
hyperthyroidism;
coagulation;
Graves' disease;
IDIOPATHIC THROMBOCYTOPENIC PURPURA;
SAGITTAL SINUS THROMBOSIS;
PROTEIN-C DEFICIENCY;
FACTOR-VIII ACTIVITY;
GRAVES-DISEASE;
THYROID-DYSFUNCTION;
BLOOD-COAGULATION;
SUBCLINICAL HYPERTHYROIDISM;
ANTICARDIOLIPIN ANTIBODIES;
OVERT HYPERTHYROIDISM;
D O I:
10.1177/1076029610364521
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
A kaleidoscope of coagulation disorders have been reported in patients with thyroid dysfunctions. Globally, these disorders involve both primary and secondary hemostasis and range from subclinical laboratory abnormalities to, more rarely, life-threatening hemorrhages or thrombotic events. While overt hypothyroidism appears to be associated with a bleeding tendency, hyperthyroidism emerged to have an increased risk of thrombotic events. In particular, a number of case reports have documented acute venous thrombosis complications in patients with overt hyperthyroidism, especially at cerebral sites. Nevertheless, further observational and intervention studies might be needed to provide a more definitive information on the clinical relevance of this association, along with the potential implication for prevention and treatment of coagulation-fibrinolytic abnormalities in patients with thyroid dysfunction.
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页码:387 / 392
页数:6
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