Inherited defects of the protein C anticoagulant system in childhood thrombo-embolism
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Inherited defects of the protein C anticoagulant system in childhood thrombo-embolism. / Nowak-Göttl, U; Auberger, K; Göbel, U; Kreuz, W; Schneppenheim, R; Vielhaber, H; Zenz, W; Zieger, B.
in: EUR J PEDIATR, Jahrgang 155, Nr. 11, 01.11.1996, S. 921-7.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Inherited defects of the protein C anticoagulant system in childhood thrombo-embolism
AU - Nowak-Göttl, U
AU - Auberger, K
AU - Göbel, U
AU - Kreuz, W
AU - Schneppenheim, R
AU - Vielhaber, H
AU - Zenz, W
AU - Zieger, B
PY - 1996/11/1
Y1 - 1996/11/1
N2 - Childhood thrombo-embolism is mostly the result of inherited thrombophilia or vascular insults combined with risk factors such as peripartal asphyxia, fetopathia diabetica, exsiccosis, septicaemia, central lines, congenital heart disease, cancer, trauma, surgery or elevated antiphospholipid antibodies. Inherited thrombophilia includes mainly defects of the protein C pathway, resistance to activated protein C, protein C or protein S deficiency. Resistance to activated protein C, in the majority of cases caused by the point mutation Arg 506 Gln of the factor V gene, has emerged as the most important hereditary cause of thrombo-embolism in adults and children. However, since an acquired risk of thrombo-embolic complications frequently masks the inherited deficiency in affected children, children with thrombo-embolism should have adequate laboratory evaluation for inherited coagulation disorders, especially the protein C pathway. Until more data on childhood thrombo-embolism are available, treatment recommendations will continue to be extrapolated from guidelines for adults.
AB - Childhood thrombo-embolism is mostly the result of inherited thrombophilia or vascular insults combined with risk factors such as peripartal asphyxia, fetopathia diabetica, exsiccosis, septicaemia, central lines, congenital heart disease, cancer, trauma, surgery or elevated antiphospholipid antibodies. Inherited thrombophilia includes mainly defects of the protein C pathway, resistance to activated protein C, protein C or protein S deficiency. Resistance to activated protein C, in the majority of cases caused by the point mutation Arg 506 Gln of the factor V gene, has emerged as the most important hereditary cause of thrombo-embolism in adults and children. However, since an acquired risk of thrombo-embolic complications frequently masks the inherited deficiency in affected children, children with thrombo-embolism should have adequate laboratory evaluation for inherited coagulation disorders, especially the protein C pathway. Until more data on childhood thrombo-embolism are available, treatment recommendations will continue to be extrapolated from guidelines for adults.
KW - Blood Coagulation
KW - Blood Coagulation Disorders
KW - Child
KW - Genetic Testing
KW - Genotype
KW - Heterozygote
KW - Humans
KW - Mutation
KW - Phenotype
KW - Protein C
KW - Protein C Deficiency
KW - Thromboembolism
M3 - SCORING: Journal article
C2 - 8911889
VL - 155
SP - 921
EP - 927
JO - EUR J PEDIATR
JF - EUR J PEDIATR
SN - 0340-6199
IS - 11
ER -