Acquired factor VII deficiency in hematopoietic stem cell transplant recipients.

Abstract:

:Acquired factor VII (FVII) deficiency in the absence of vitamin K deficiency, oral anticoagulant therapy, synthetic liver dysfunction, or DIC is rare, with only a handful of cases thus far reported. In the period from 1990 to 1996 we identified eight patients with acquired FVII deficiency, all of whom presented with prolongation of the prothrombin time (PT) in the first 2 weeks following stem cell transplantation (SCT). The mean plasma FVII clotting activity (FVII:c) was 22% (range 8-35%) with an approximately equivalent reduction in FVII antigen (FVII:Ag) level. Mean plasma levels of fibrinogen and factors II, V, IX, and X were normal. Protein C activity was significantly depressed in only one of the three patients in whom it was measured. Several patients experienced bleeding complications, and hemorrhage directly accounted for death in two cases. Veno-occlusive disease of the liver developed in three patients. We conclude that FVII deficiency should be considered in the differential diagnosis of prolonged PT in patients who have recently undergone SCT. The mechanism of this acquired deficiency state remains to be defined.

journal_name

Bone Marrow Transplant

authors

Toor AA,Slungaard A,Hedner U,Weisdorf DJ,Key NS

doi

10.1038/sj.bmt.1703381

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

403-8

issue

5

eissn

0268-3369

issn

1476-5365

journal_volume

29

pub_type

杂志文章
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    pub_type: 杂志文章

    doi:10.1038/sj.bmt.1701128

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    authors: Saunders MJ,Jowitt SN,Yin JA

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