Document Detail


Adult patients with the nephrotic syndrome: really at high risk for deep venous thromboembolism? Report of a series and review of the literature.
MedLine Citation:
PMID:  8039758     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The reported incidence of thromboembolic episodes in people with nephrotic syndrome (NS) ranges from 6% to 44% and it has been ascribed to the presence of a hypercoagulable state, as suggested by abnormalities of several hemostatic parameters in these patients. However, the results of the studies are often contradictory and fragmented and are rarely based on prospective studies. To assess the incidence of venous thrombosis and the pattern of abnormalities of the hemostatic parameters in NS, we planned a prospective study of a group of patients with NS. PATIENTS AND METHODS: Thirty-six consecutive patients with NS were enrolled during a 9-month period. Every 4-6 months, clinical history was collected and physical examination was carried out. Blood samples for laboratory investigation were taken at entry into the study and 24 months later. A critical review of the literature was also carried out (Medline database and Current Contents). RESULTS: During the follow-up (mean 45.2 months), no thrombotic symptoms were recorded, PTT, PT, TT and mean AT-III levels were within the normal range, whereas fibrinogen, plasminogen, protein C and S, heparin cofactor II levels were significantly higher than normal both at entry into the study and 24 months later. No patient was positive for antiphospholipid antibodies. Slightly decreased levels of AT-III and heparin cofactor II were found in only two cases. CONCLUSIONS: Our study confirms neither the high incidence of thrombotic complications in NS nor the presence of abnormalities of hemostatic parameters commonly associated with venous thromboembolism.
Authors:
M Ruggeri; M Milan; G La Greca; G Castaman; F Rodeghiero
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Haematologica     Volume:  78     ISSN:  0390-6078     ISO Abbreviation:  Haematologica     Publication Date:    1993 Nov-Dec
Date Detail:
Created Date:  1994-08-23     Completed Date:  1994-08-23     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0417435     Medline TA:  Haematologica     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  47-51     Citation Subset:  IM    
Affiliation:
Department of Hematology, San Bortolo Hospital, Vicenza, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Coagulation Tests
Female
Fibrinogen / analysis
Humans
Incidence
Male
Middle Aged
Nephrotic Syndrome / blood,  complications*
Plasminogen / analysis
Prospective Studies
Risk
Thromboembolism / epidemiology,  etiology*
Chemical
Reg. No./Substance:
9001-32-5/Fibrinogen; 9001-91-6/Plasminogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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