Pradhan Akshyaya, Shukla Ayush, Jain Mili, Mehrotra Anupam, Sethi Rishi
Assistant Professor, Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Senior Resident, Department of Cardiology, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Clin Diagn Res. 2017 Sep;11(9):OD03-OD04. doi: 10.7860/JCDR/2017/27336.10582. Epub 2017 Sep 1.
Combined hereditary thrombophilia is an uncommon entity associated with higher risk of early onset thrombosis. We report a case of 39-year-old male with combined deficiency of natural anticoagulants (protein C, S and anti thrombin) along with hyper homocystenemia and factor V Leiden mutation, presenting with life threatening bilateral pulmonary embolism. The clinical implications of combined thrombophilia are also discussed.
复合型遗传性易栓症是一种不常见的病症,与早发性血栓形成的较高风险相关。我们报告一例39岁男性患者,其存在天然抗凝剂(蛋白C、蛋白S和抗凝血酶)联合缺乏,同时伴有高同型半胱氨酸血症和凝血因子V莱顿突变,表现为危及生命的双侧肺栓塞。文中还讨论了复合型易栓症的临床意义。