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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/20354
Title: Relationship between hypercoagulable state and erythrocyte phosphatidylserine exposure in splenectomized haemoglobin E/β-thalassaemic patients
Authors: Vichai Atichartakarn
Pantep Angchaisuksiri
Katcharin Aryurachai
Supornchai Onpun
Suporn Chuncharunee
Ammarin Thakkinstian
Kanlayanee Atamasirikul
Mahidol University
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Keywords: Medicine
Issue Date: 23-Sep-2002
Citation: British Journal of Haematology. Vol.118, No.3 (2002), 893-898
Abstract: Small pulmonary arterial thromboses can occur following splenectomy of patients with haemoglobin E/β-thalassaemia (Hb E/β-thal). We compared plasma markers of coagulation activation in vivo and red blood cell (RBC) markers of procoagulant activity in 15 Hb E/β-thal patients who were not splenectomized (NS), 15 who had been splenectomized (S), and 15 normal controls (NC). Levels of plasma thrombin-antithrombin III complex (TAT) were significantly higher in the S group than in either the NS or the NC groups, and levels of prothrombin fragment 1.2 (F 1.2) were significantly higher in the S than in the NC group. Diluted Russell's viper venom clotting times were significantly shorter when RBCs from group S patients were added to the assay compared with RBCs from the NC group. Phosphatidylserine (PS) expression (% of annexin V-positive RBCs) on the outer leaflet of RBC membrane of both 'larger'-and 'smaller'-sized RBCs was significantly higher for the S than the NC group. The RBC PS expression of the S and the NS groups, respectively, accounted for 25.3% (P = 0.174) and 6.3% (P = 0.675) of the variation in plasma TAT levels. Our findings indicated that, when compared with NC, splenectomized patients with Hb E/β-thal were in a chronic low-grade hypercoagulable state associated with increased numbers of circulating PS exposed RBCs. This condition may have a role in the risk of these patients for pulmonary arterial thromboses.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0036039730&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/20354
ISSN: 00071048
Appears in Collections:Scopus 2001-2005

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