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THE FIBRINOLYTIC RESPONSE TO VENOUS OCCLUSION AND THE NATURAL ANTICOAGULANTS IN PATIENTS WITH ANTIPHOSPHOLIPID ANTIBODIES BOTH WITH AND WITHOUT SYSTEMIC LUPUS-ERYTHEMATOSUS

KEELING, DM; CAMPBELL, SJ; MACKIE, IJ; MACHIN, SJ; ISENBERG, DA; (1991) THE FIBRINOLYTIC RESPONSE TO VENOUS OCCLUSION AND THE NATURAL ANTICOAGULANTS IN PATIENTS WITH ANTIPHOSPHOLIPID ANTIBODIES BOTH WITH AND WITHOUT SYSTEMIC LUPUS-ERYTHEMATOSUS. BRIT J HAEMATOL , 77 (3) 354 - 359.

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Abstract

Patients with systemic lupus erythematosus (SLE) have an increased risk of thrombosis and this is increased in the presence of antiphospholipid antibodies (APA). These APA are also associated with thrombosis in patients who do not have SLE. We compared haemostatic parameters in SLE patients with and without APA, and also compared patients who had APA but not SLE with healthy normal controls. No relationships between the natural anticoagulants, antithrombin III, heparin cofactor II, protein C and protein S, and the presence of APA were found. In the patients with SLE both tissue plasminogen activator antigen and plasminogen activator inhibitor (PAI) were increased, but these changes were not due to APA which had no effect on fibrinolysis in these patients. In the patients with APA who did not have SLE the fibrinolytic response to venous occlusion was reduced due to raised levels of PAI; similar changes have, however, been reported in some patients with idiopathic thrombosis.

Type: Article
Title: THE FIBRINOLYTIC RESPONSE TO VENOUS OCCLUSION AND THE NATURAL ANTICOAGULANTS IN PATIENTS WITH ANTIPHOSPHOLIPID ANTIBODIES BOTH WITH AND WITHOUT SYSTEMIC LUPUS-ERYTHEMATOSUS
Keywords: ANTI-COAGULANT, PROTEIN-S, THROMBOSIS, IMMUNOGLOBULIN, ABNORMALITIES, MECHANISM, INHIBITOR
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Haematology
URI: http://discovery.ucl.ac.uk/id/eprint/85210
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