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Antiphospholipid syndrome: analysis of dilute Russell's viper venom time titer.
Martinez, Alan P; Cunningham, Mark T.
Afiliación
  • Martinez AP; Department of Pathology and Laboratory Medicine, University of Kansas, Kansas City, Kansas.
Blood Coagul Fibrinolysis ; 27(5): 557-62, 2016 Jul.
Article en En | MEDLINE | ID: mdl-27380475
To evaluate the characteristic features of the dilute Russell's viper venom time (DRVVT) titer in the antiphospholipid syndrome (APS). The medical record of 3660 consecutive patients with DRVVT orders between 2006 and 2015 were examined for criteria satisfying the diagnosis of APS. DRVVT titer was studied as a function of titer distribution, titer stability, and clinicopathologic features. Twenty-six patients were diagnosed with APS based on a persistently positive DRVVT and a history of arterial or venous thrombosis. DRVVT titer was mostly of low magnitude (65-77% of patients), was of similar value between initial and repeat testing (mean DRVVT titer 1.40 vs. 1.38; P = 0.858; mean time interval 216 days), and was positively associated with anticardiolipin antibodies (IgG and IgM) and antibeta-2-glycoprotein I antibodies (IgG and IgM) (P < 0.020). Low titer and moderate/high titer DRVVT were associated with a triple positive antiphospholipid antibody profile in 0 and 62% of patients, respectively (P < 0.020). DRVVT titer in APS was predominantly low in magnitude, stable over time, and associated with specific antiphospholipid antibody profiles.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombosis / Venenos de Víboras / Inmunoglobulina G / Inmunoglobulina M / Inhibidor de Coagulación del Lupus / Síndrome Antifosfolípido Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: Blood Coagul Fibrinolysis Asunto de la revista: ANGIOLOGIA / HEMATOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombosis / Venenos de Víboras / Inmunoglobulina G / Inmunoglobulina M / Inhibidor de Coagulación del Lupus / Síndrome Antifosfolípido Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Animals / Female / Humans / Male / Middle aged Idioma: En Revista: Blood Coagul Fibrinolysis Asunto de la revista: ANGIOLOGIA / HEMATOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido