Document Detail


Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
MedLine Citation:
PMID:  3500677     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fibrinolytic and other factors have been measured in 73 patients with systemic lupus erythematosus or related conditions to determine whether clinical thrombosis, a common feature of these disorders, is associated with defective fibrinolysis. Twenty five of 72 (35%) patients, compared with two of 22 (9%) controls, showed a low level of plasminogen activator activity in response to venous occlusion, suggesting decreased fibrinolytic potential. In addition, mean plasma levels of von Willebrand factor antigen and fibronectin were markedly raised in the patients (mean (SD) 384.5 (277)% and 727 (436) mg/l respectively) compared with healthy controls (100 (50)% and 306 (65) mg/l). These data suggest a degree of endothelial cell dysfunction. No clear correlation was found between a history of thrombosis and any plasma factor measured, except for prolongation of clotting tests suggestive of the 'lupus anticoagulant'.
Authors:
M A Byron; M J Allington; H M Chapel; A G Mowat; S A Cederholm-Williams
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of the rheumatic diseases     Volume:  46     ISSN:  0003-4967     ISO Abbreviation:  Ann. Rheum. Dis.     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-12-31     Completed Date:  1987-12-31     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372355     Medline TA:  Ann Rheum Dis     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  741-5     Citation Subset:  IM    
Affiliation:
Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Headington, Oxford.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antigens / analysis
Endothelium, Vascular / metabolism
Female
Fibrinolysis*
Fibronectins / blood
Humans
Lupus Erythematosus, Systemic / blood*,  immunology,  metabolism
Male
Plasminogen Activators / blood
Thrombosis / blood*
von Willebrand Factor / immunology
Chemical
Reg. No./Substance:
0/Antigens; 0/Fibronectins; 0/von Willebrand Factor; EC 3.4.21.-/Plasminogen Activators
Comments/Corrections

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