Hypercoagulability resulting from opposite effects of lupus anticoagulants is associated strongly with thrombotic risk

被引:32
作者
Lecompte, Thomas
Wahl, Denis [1 ]
Perret-Guillaume, Christine
Hemker, H. Coenraad
Lacolley, Patrick
Regnault, Veronique
机构
[1] UHP, INSERM, U734, Fac Med, F-54500 Vandoeuvre Les Nancy, France
[2] Nancy Univ, UHP, Nancy, France
[3] Nancy Univ Hosp, Haematol Lab, Nancy, France
[4] Univ Maastricht, Synapse BV, CARIM, Maastricht, Netherlands
[5] INSERM, U684, Nancy, France
来源
HAEMATOLOGICA-THE HEMATOLOGY JOURNAL | 2007年 / 92卷 / 05期
关键词
antiphospholipid antibody; antiphospholipid syndrome; lupus anticoagulant; APC resistance; thrombin generation;
D O I
10.3324/haematol.10577
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Interference of antiphospholipid antibodies (aPL) with coagulation was investigated in 40 aPL-patients (24 with thrombosis) using thrombography. Impairment of the activated protein C anticoagulant pathway was partially offset by the genuine anticoagulant effect. The net result, a procoagulant phenotype, was associated with a 7-fold increased risk of thrombosis in aPL-patients.
引用
收藏
页码:714 / 715
页数:2
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