CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes. a slov. Gastroent., 2000, roč. 54, č. 6, s. 206 - 209. |
Incidence of
Leiden and Prothrombin Mutation in Patients with Crohn’s Disease Gürlich R. 1 , Hrachovinová I. 2 , Salaj P. 2 , Lukáš K. 3 , Lukáš M. 3 , Vorlová Z. 2 , 1 I. chirurgická klinika 1. LF UK a VFN, Praha 2 Ústav hematologie a krevní transfuze 1. LF UK a VFN, Praha 3 IV. interní klinika 1. LF UK a VFN, Praha 4 III. interní klinika 1. LF UK a VFN, Praha |
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Summary: In patients with idiopathic intestinal inflammations the hypercoagulation is one of the potential factors in the
development of the disease and its complications. In a group of 16 patients in the asymptomatic stage of
Crohn’s disease after resection of the gut on account of stenosis, the authors assessed the prevalence of basic
indicators of hypercoagulation. The authors did not reveal a higher incidence of inborn factors of hypercoagu-
lation – Leiden’s mutation and allele 20210A prothrombin. They did not prove a reduced level of C and
S protein and antithrombin III. As compared with the control group of healthy subjects the plasma fibrinogen
level was not elevated. The absence of genetically conditioned factors of hypercoagulation which play a decisi-
ve part in the development of thromboembolic complications, normal levels of protein C, protein S, antithrom-
bin III and fibrinogen in our groups of patients provide indirect evidence against the participation of
hypercoagulation in the etiology of the development of complicated Crohn’s disease.The finding of a higher
fibrinogen level may be a secondary non-specific manifestation of chronic inflammatory activity.
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