Duetz C, Houtenbos I, de Roij van Zuijdewijn C L M
Department of Internal Medicine, Spaarne Gasthuis Hospital, Haarlem/Hoofddorp, the Netherlands.
Neth J Med. 2019 Feb;77(2):84-85.
A 47-year old man was admitted for macroscopic hematuria and spontaneous hematomas. Laboratory results showed a prolonged partial thromboplastin time (PTT), a prolonged activated partial thromboplastin time (APTT) and a severe vitamin K deficiency. The underlying cause proved to be vitamin K malabsorption due to previously undiagnosed celiac disease, possibly provoked by oral antibiotic administration.
一名47岁男性因肉眼血尿和自发性血肿入院。实验室检查结果显示部分凝血活酶时间（PTT）延长、活化部分凝血活酶时间（APTT）延长以及严重维生素K缺乏。潜在病因是先前未被诊断出的乳糜泻导致维生素K吸收不良，可能是口服抗生素诱发的。
