| Factor VII deficiency and pregnancy: a case report and review of literature. | |
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MedLine Citation:
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PMID: 20209704 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Factor VII deficiency is one of the 'rare inherited disorders of coagulation.' Few cases of Factor VII deficiency have been reported during pregnancy, a state which could potentially cause fatal haemorrhage. Here we report a case of a pregnant lady with a history of heavy menorrhagia and multiple first pregnancy failures. Delivery was carried out via Caesarean section due to non-reassuring foetal heart monitoring. Patient was treated with Fresh Frozen Plasma (FFPs) and Factor VII concentrates, however, the patient developed bleeding postoperatively. Literature indicates that whilst Factor VII levels rise during pregnancy in normal women, no increase is seen in homozygous cases, whereas there is a moderate rise in heterozygous individuals. History of heavy menorrhagia, multiple first pregnancy failures and a positive family history for bleeding disorders necessitate investigation and monitoring of Factor VII levels during pregnancy. Factor VII concentrates achieve adequate homeostasis in most cases. Recombinant Factor VIIa, however, is the treatment of choice and does not carry a risk of infection transmission or thrombus formation. |
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Authors:
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Syed Mohammad Asad Zaidi; Rahat Najam Qureshi; Salman Naseem Adil |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 60 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-03-08 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 136-8 Citation Subset: IM |
Affiliation:
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Aga Khan University, Medical College, Karachi, Pakistan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Factor VII Deficiency / drug therapy* Factor VIIa / therapeutic use Female Humans Pregnancy Pregnancy Complications, Hematologic / drug therapy* Pregnancy Outcome Recombinant Proteins / therapeutic use |
| Chemical | |
Reg. No./Substance:
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0/Recombinant Proteins; 0/recombinant FVIIa; EC 3.4.21.21/Factor VIIa |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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