Baños Madrid R, Salama Benarroch H, Martínez Crespo J, Morán Sánchez S, Vargas Acosta A, Mercader Martínez J
Servicio de Medicina del Aparato Digestivo, Hospital Universitario Virgen de la Arrixaca Murcia.
An Med Interna. 2003 Feb;20(2):81-4.
Thromboembolic episode is a well known extraintestinal manifestation of inflammatory bowel disease, but it is a clinical rare complication. Histological and hematological studies suggest that a hypercoagulable state is involved in the pathogenesis of inflammatory bowel disease. However, the exact mechanism of hypercoagulability is still unknown. During the acute recurrences there is an increase of factor VIII, fibrinogen, platelet, factor V and decrease of antithrombin III. Hematologic disorders seem markedly correlated with the activity of the disease. We report on two patients with Inflammatory bowel disease and hypercoagulable state. We review the literature and discuss about the pathogenic mechanisms of such complication.
血栓栓塞事件是炎症性肠病一种众所周知的肠外表现,但它是一种临床罕见的并发症。组织学和血液学研究表明,高凝状态参与了炎症性肠病的发病机制。然而,高凝的确切机制仍不清楚。在急性复发期间,因子VIII、纤维蛋白原、血小板、因子V增加,抗凝血酶III减少。血液系统紊乱似乎与疾病活动明显相关。我们报告了两名患有炎症性肠病和高凝状态的患者。我们回顾了文献并讨论了这种并发症的致病机制。