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Thromb Haemost 1989; 61(01): 050-054
DOI: 10.1055/s-0038-1646525
Original Article
Schattauer GmbH Stuttgart

The Relative Frequency of Hereditary Thrombotic Disorders Among 107 Patients with Thrombophilia in Israel

O Ben-Tal
The Institute of Hematology, Tel-Aviv Medical Center, Ichilov Hospital and the Sackler School of Medicine, Tel-Aviv University, Israel
,
A Zivelin
The Institute of Hematology, Tel-Aviv Medical Center, Ichilov Hospital and the Sackler School of Medicine, Tel-Aviv University, Israel
,
U Seligsohn
The Institute of Hematology, Tel-Aviv Medical Center, Ichilov Hospital and the Sackler School of Medicine, Tel-Aviv University, Israel
› Author Affiliations
Further Information

Publication History

Received 17 March 1988

Accepted after revision 02 September 1988

Publication Date:
24 July 2018 (online)

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Summary

Since most patients with thrombophilia in Israel are referred for diagnosis to our center, it was possible to estimate the relative frequency of the hereditary disorders leading to thrombophilia. 107 unrelated patients were evaluated over 4 years. Diagnoses were established in 23 patients (21.5%) while in 84 (78.5%) no abnormality was detected. Antithrombin III deficiency was found in 8 patients (7.5%), dominant protein C deficiency in 6 (5.6%), recessive homozygous protein C deficiency in 1, protein S deficiency in 3 (2.8%) and dysfibrinogenemia in 1. Four additional patients (3.7%) had a lupus anticoagulant. The frequency of deep vein thrombosis and pulmonary embolism was similar in patients with and without a definite diagnosis. Thrombosis of visceral or cerebral vessels and a positive family history were more frequent among patients in whom a definite diagnosis was made. In both groups there was a substantial lag between the time of presentation of the first thrombotic episode and the time of evaluation. Since the number of referred patients with thrombophilia has gradually increased over the period of the study, it is at present impossible to establish the prevalence of the various hereditary disorders leading to thrombophilia in the population.

Key words

Thrombophilia - Antithrombin III - Protein C - Protein S - Lupus anticoagulant
 

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