Inherited prothrombotic defects in Budd-Chiari syndrome and portal vein thrombosis: a study from North India.
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| Abstract |
We studied 57 patients with Budd-Chiari syndrome (BCS) and 48 with portal vein thrombosis (PVT) for underlying inherited prothrombotic defects such as protein C, protein S, and antithrombin III deficiencies. Genetic mutations for factor V Leiden, prothrombin gene 20210A, and methyltetrahydrofolate reductase (MTHFR) C677T were studied in 29 patients in each group. Inherited prothrombotic defects were detected in 16 (28%) of 57 patients with BCS and 7 (15%) of 48 patients with PVT. Factor V Leiden mutation was the most common prothrombotic defect in BCS (5/29 [17%]) followed by protein C deficiency (7/57 [12%]) and protein S deficiency (4/57 [7%]), whereas in PVT, protein C deficiency was the most common inherited prothrombotic defect (4/48 [8%]) followed by protein S deficiency (2/48 [4%]). The factor V Leiden mutation was detected in only 1 (3%) of 29 cases of PVT. The heterozygous MTHFR C677T mutation was detected in 7 (24%) of 29 patients with BCS and 6 (21%) of 29 patients with PVT. Antithrombin III deficiency, homozygous MTHFR C677T mutation, and prothrombin G20210A mutation were not detected in any patients.
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| Authors | Maitreyee Bhattacharyya, Govind Makharia, M Kannan, R P H Ahmed, P K Gupta, Renu Saxena |
| Journal | American journal of clinical pathology (Am J Clin Pathol) Vol. 121 Issue 6 Pg. 844-7 (Jun 2004) ISSN: 0002-9173 [Print] England |
| PMID | 15198356 (Publication Type: Comparative Study, Journal Article) |
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