Antithrombin III and anti-activated factor X activity in patients with acute promyelocytic leukemia and disseminated intravascular coagulation treated with heparin.

Abstract:

:Two patients diagnosed as having acute promyelocytic leukemia (APL) and disseminated intravascular coagulation (DIC) were closely followed from the day of admission until completion of the first course of chemotherapy with serial coagulation studies including plasma levels of functional antithrombin III activity (AT III) by fluorometric analysis and anti-activated Factor X activity (anti-Xa) by coagulation assay. Both patients were treated with intravenous heparin and the presence of heparin in plasma was followed by the thrombin time. Consistently normal levels of AT III (greater than 80%) were found despite evidence of intravascular coagulation. However, plasma levels of anti-Xa were often low (less than 70%) and increased only in the presence of heparin. The significance of these results in relationship to heparin therapy for disseminated intravascular coagulation of APL is discussed.

journal_name

Cancer

journal_title

Cancer

authors

Sandler RM,Liebman HA,Patch MJ,Teitelbaum A,Levine AM,Feinstein DI

doi

10.1002/1097-0142(19830215)51:4<681::aid-cncr28205

subject

Has Abstract

pub_date

1983-02-15 00:00:00

pages

681-5

issue

4

eissn

0008-543X

issn

1097-0142

journal_volume

51

pub_type

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