Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (822 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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   Acquired: Acquired anti–factor VIII autoantibodies in previously unaffected individuals; acquired anti–factor VIII alloantibodies in multiply transfused hemophilia A patients; DIC and pathologic fibrinolysis
   
Factor IX
   Congenital: hemophilia B:X-linked transmission
   Acquired: liver disease, vitamin K deficiency or use of vitamin K antagonists, nephrotic syndrome, amyloidosis, autoantibodies to factor IX in previously healthy individuals (extremely rare), alloantibodies in hemophilia B patients treated with factor IX infusions
   
Factor X
   Congenital: rare autosomal recessive defect. Homozygotes may have a bleeding diathesis.
   Acquired: severe liver disease; vitamin K deficiency or use of vitamin K antagonists, DIC, amyloidosis
   
Factor XI
   Congenital: autosomal recessive inheritance; mild bleeding diathesis if markedly decreased
   
Factor XIII
   Congenital: severe bleeding in homozygous state; impaired wound healing
   Acquired: liver disease; acute promyelocytic leukemia; autoantibodies against factor XIII
   Limitations

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