Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (821 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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Factor IX:
Pregnancy and use of oral contraceptives. Very elevated values have been associated with a tendency to thromboembolism.
   
Factor X:
Pregnancy and use of oral contraceptives.

Decreased In

   
Factor II
   Congenital deficiency (recessive inheritance): Bleeding of various severities in homozygotes
   Acquired deficiency: Liver disease, DIC, pathologic fibrinolysis, vitamin K deficiency, or warfarin therapy
   
Factor V
   Congenital: inherited autosomal deficiency; bleeding in homozygotes
   Acquired: liver disease, DIC, or pathologic fibrinolysis
   
Factor VII
   Congenital deficiency: manifested by variable bleeding in homozygotes
   Acquired: liver disease, vitamin K deficiency, vitamin K antagonist therapy
   
Factor VIII
   Congenital: hemophilia A in male patients and in some female carriers of the hemophilia gene (usually mild decrease); von Willebrand disease, especially if moderate to severe

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