Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2002-9-10
pubmed:abstractText
Polycythemia Vera (PV) and Essential Thrombocythemia (ET) are chronic myeloproliferative disorders complicated by a high incidence of thrombotic complications. Extensive coagulation studies failed to demonstrate a consistent pattern of abnormalities associated with thrombosis. Recently, a poor anticoagulant response to activated protein C (APC), due to a mutation of factor V (FV Leiden), has been identified as the most frequent hereditary disorder associated with venous thrombophilia. We investigated in 304 patients with PV and ET whether the presence of FV Leiden could be a risk factor for thrombosis. FV Leiden was found in 14/304 patients (4.6%) and was associated with venous thromboembolism (VTE) occurred before and at diagnosis (5/27,16%, with a significant difference of prevalence in comparison of that observed in asymptomatic patients, 9/263, 3%, p = 0.003). Carriership of FV Leiden was associated with VTE relapse, with a prevalence of 3.6% in asymptomatic patients, 6.9% in patients with a single episode of VTE and 18.1% in patients with recurrent VTE. The prevalence of FV Leiden in patients with and without arterial thrombosis was similar (5/79, 6% and 9/211, 4%, respectively, p = 0.337). This study indicates that the prevalence of the FV Leiden mutation in patients with PV and ET is comparable with that observed in the general population. FV Leiden mutation is a risk factor for VTE before and at time of diagnosis and for VTE recurrences. Screening for FV Leiden may be considered to identify PV and ET patients at higher risk of recurrences.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0361-8609
pubmed:author
pubmed:copyrightInfo
Copyright 2002 Wiley-Liss, Inc.
pubmed:issnType
Print
pubmed:volume
71
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1-6
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:12221665-Activated Protein C Resistance, pubmed-meshheading:12221665-Anticoagulants, pubmed-meshheading:12221665-Austria, pubmed-meshheading:12221665-Cardiovascular Diseases, pubmed-meshheading:12221665-Cohort Studies, pubmed-meshheading:12221665-Comorbidity, pubmed-meshheading:12221665-Factor V, pubmed-meshheading:12221665-Female, pubmed-meshheading:12221665-Gene Frequency, pubmed-meshheading:12221665-Genetic Predisposition to Disease, pubmed-meshheading:12221665-Genetic Testing, pubmed-meshheading:12221665-Genotype, pubmed-meshheading:12221665-Humans, pubmed-meshheading:12221665-Male, pubmed-meshheading:12221665-Middle Aged, pubmed-meshheading:12221665-Polycythemia Vera, pubmed-meshheading:12221665-Prevalence, pubmed-meshheading:12221665-Recurrence, pubmed-meshheading:12221665-Risk Factors, pubmed-meshheading:12221665-Thrombocythemia, Essential, pubmed-meshheading:12221665-Thrombophilia, pubmed-meshheading:12221665-Venous Thrombosis, pubmed-meshheading:12221665-Warfarin
pubmed:year
2002
pubmed:articleTitle
Factor V Leiden mutation carriership and venous thromboembolism in polycythemia vera and essential thrombocythemia.
pubmed:affiliation
Department of Hematology, S. Bortolo Hospital, Vicenza, Italy.
pubmed:publicationType
Journal Article