Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “AFIBRINOGENEMIA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 703 records · Page 39Linked to original sources
PubMed1975

[Hypodysfibrinogenemia: fibrinogen giessen II (author's transl)].

A new case of facultative hemorrhagic diathesis is described in a 19 year old female and the coagulatory anomaly examined. The experiments show that the coagulatory disturbance should be ascribed to a defective aggregation of fibrin monomers associated with hypofibrinogenemia. Some of its characteristics are the markedly prolonged thrombin-, reptilase-time as well prolonged prothrombin and partial thromboplastin time. The plasma fibrinogen concentration measured by the immunologic method is reduced. The streptokinase induced digestion of fibrinogen Giessen II plasma occurred at a slower rate than normal plasma with persistence of the large fibrinogen degradation products. Fibrinogen Giessen II appears to be a congenital hypodysfibrinogenemia with abnormality of fibrinogen resulting in delayed coagulation and a retarded fibrinogenolysis rate.

Adult↗
PubMed1975

[Stimulating effect of collagen and collagen derivatives on the propregation and adhesion of thrombocytes in defibrinogenated human citrate plasma and in animal citrate plasma].

Collagen type I form calf skin, collagen modified by pepsin, methylation, succinylation or deamidation and alpha1-chains or cyanogen bromide peptides were studied for their effect on adhesion and spreading of platelets. Some of the proteins increased platelet activity and indicated that the following structural parameters are of importance: 1. triple-helical conformation, 2. non-triple-helical regions, 3. charged amino acid side chains, 4. some activity was also detected for cyanogen bromide peptides of collagen alpha1-chain. The activity of collagen when used in a firbrinogen-free system is comparable to that of fibrinogen and potentiates platelet spreading caused by animal plasma.

Afibrinogenemia↗
PubMed1995

Chronic consumption coagulopathy due to an occult splenic haemangioma: Kasabach-Merritt syndrome.

UNLABELLED: We report an 11-year-old girl with a 2-year history of bruising associated with thrombocytopenia and dysfibrinogenaemia. On admission she presented with a large subcutaneous haematoma and splenomegaly and was severely anaemic. Laboratory investigations revealed signs of consumption coagulopathy. Radiological examination showed splenic, retroperitoneal and intra-ossal haemangiomas. After splenectomy, platelet count and coagulation parameters returned to normal. CONCLUSION: Contrary to widely held views, occult visceral haemangioma can lead to Kasabach-Merritt syndrome beyond infancy and is not necessarily associated with visible cutaneous haemangioma. It should be included in the differential diagnosis of chronic thrombocytopenia at any age. Early determination of fibrinogen degradation product levels is advised in order to detect an underlying chronic consumption coagulopathy prompted by an extensive search for multifocal haemangioma.

Afibrinogenemia↗
PubMed1988

Intraoperative management of a dysfibrinogenemic patients with gastric cancer.

The intraoperative management of a dysfibrinogenemic patient with gastric cancer is reported herein. In order to avoid abnormal bleeding, the fibrinogen level during a cancer-operation should be maintained above 60 mg/dl. Cryoprecipitate, however, is not suitable for fibrinogen supplementation because of its short life in vivo.

Adenocarcinoma↗
PubMed2006

Acute osteomyelitis in congenital hypofibrinogenemia.

A 10-month-old female child presented with intermittent high grade fever, pain and diffuse swelling in the left knee joint with history of ecchymosis in different areas of the body. There was radiological features of acute osteomyelitis, low fibrinogen level and bacteremia due to the presence of coagulase positive staphylococcus aureus. The child responded nicely to the treatment for acute osteomyelitis and congenital hypofibrinogenemia. So, in congenital hypofibrinogenemia, a joint swelling might be a resultant of an acute osteomyelitis, not mere hemarthrosis.

Acute Disease↗
PubMedDate not supplied

A survey of inherited thrombotic syndromes in Italy. ad hoc Study Group.

A collaborative survey was conducted among Italian thrombosis centers to gather information about the number and clinical features of patients with inherited thrombotic syndromes. The survey, based on 74 unrelated kindreds, revealed that antithrombin III, protein C and protein S defects are the most frequent genetic disorders. Venous thromboembolism was more frequent than arterial thrombosis, which was seen in only a minority of cases, most frequently with dysfibrinogenemia. About half of the patients developed venous thrombosis with a similar incidence in antithrombin III, protein S and protein C defects. About half of the symptomatic patients had recurrences and 40% developed thrombosis after a triggering factor, most frequently after surgery, during the puerperium, pregnancy, oral contraceptive intake or bed rest. Deep venous thrombosis prevailed and superficial thrombophlebitis was rare in antithrombin III-deficient patients, whereas deep venous thrombosis was present in about half and superficial thrombophlebitis in about one third of the cases with protein S and protein C defects. The probability to be free of thrombosis decreases with increasing age and at 35 years can be estimated to be 47% both for men and women. There is, however, a group of patients who are still free of thrombosis despite their older ages.

Adolescent↗
PubMedDate not supplied

Role of sialic acid in acquired dysfibrinogenemia associated with liver cirrhosis.

The possible existence of acquired dysfibrinogenemia was investigated in blood samples from 30 patients with liver cirrhosis, 15 newborns and 30 healthy control subjects. Alterations of thrombin time were found in newborns and in 14 cirrhotic patients; glucide fraction levels were measured in these subjects and an increase in sialic acid content was observed. Its functional role was studied by comparing thrombin time and electrophoretic mobility of purified and desialylated forms of fibrinogen. We observed a thrombin time normalization, which was initially prolonged upon the removal of the sialic acid. The anodic electrophoretic mobility underwent changes due to the removal of sialic acid.

Adult↗
PubMed1981

Hepatocellular fibrinogen storage in familial hypofibrinogenemia.

In the cytoplasm of hepatocytes of liver biopsy from a 30 year old man, there were proteinaceous inclusions which by use of the peroxidase-antiperoxidase method reacted strongly with antihuman-fibrinogen IgG, but gave a negative reaction with antihuman-alpha-1-antitrypsin IgG and with antihuman-albumin IgG. As shown in the electron microscope, these protein inclusions were composed of densely packed, irregularly arranged tubules of 40 nm diameter. Clinically, the patient and members of his family showed primary hypofibrinogenemia which on the basis of the morphological findings has to be interpreted as the consequence of a disturbance in the secretion of fibrinogen. Besides the well known alpha-1-antitrypsin deficiency, familial hypofibrinogenemia with hepatocellular fibrinogen storage appears to represent another example of a plasma deficiency due to failure of hepatic secretion.

Adult↗
PubMed2004

The molecular mechanisms of congenital hypofibrinogenaemia.

Congenital hypofibrinogenaemia is characterized by abnormally low levels of fibrinogen and is usually caused by heterozygous mutations in the fibrinogen chain genes (alpha, beta and gamma). However, it does not usually result in a clinically significant condition unless inherited in a homozygous or compound heterozygous state, where it results in a severe bleeding disorder, afibrinogenaemia. Various protein and expression studies have improved our understanding of how mutations causing hypo- and afibrinogenaemia affect secretion of the mature fibrinogen molecule from the hepatocyte. Some mutations can perturb chain assembly as in the gamma153 Cys-->Arg case, while others such as the Bbeta Leu-->Arg and the Bbeta414 Gly-->Ser mutations allow intracellular hexamer assembly but inhibit protein secretion. An interesting group of mutations, such as gamma284 Gly-->Arg and gamma375 Arg-->Trp, not only cause hypofibrinogenaemia but are also associated with liver disease. The nonexpression of these variant chains in plasma fibrinogen is due to retention in the endoplasmic reticulum, which in turn leads to hypofibrinogenaemia.

Afibrinogenemia↗
PubMed2007

[Perioperative coagulation management controlled by thrombelastography. Clinical implementation illustrated by reference to a case of acquired coagulopathy following aortic stab injury].

Uncontrolled bleeding is one of the main reasons for a lethal outcome of severe trauma. Loss, consumption and dilution of clotting factors and platelets induce a complex acquired coagulopathy. Beside surgical control of bleeding, early and precise coagulation therapy is essential for successful treatment. We report on a patient whose life-threatening bleeding and perioperative coagulopathy after a knife injury to the aorta was successfully treated by surgical control of the bleeding and subsequent targeted coagulation therapy with factor concentrates and fresh-frozen plasma. The coagulopathy was diagnosed and managed by means of bed-side thrombelastography.

Adult↗