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原发性血栓形成倾向在墨西哥 XIII:黏附小板综合征的墨西哥混血儿中的血栓事件的定位。

Primary Thrombophilia in Mexico XIII: Localization of the Thrombotic Events in Mexican Mestizos With the Sticky Platelet Syndrome.

机构信息

1 Universidad Popular Autónoma del Estado de Puebla, Puebla, Mexico.

2 Laboratorios Clínicos de Puebla, Puebla, Mexico.

出版信息

Clin Appl Thromb Hemost. 2019 Jan-Dec;25:1076029619841700. doi: 10.1177/1076029619841700.

DOI:10.1177/1076029619841700
PMID:30968703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6714947/
Abstract

The sticky platelet syndrome (SPS) is a common cause of both arterial and venous thrombosis, being a dominant autosomal disease with qualitative platelet alterations and familial occurrence. It is characterized by platelet hyperreactivity with increased platelet aggregability in response to low concentrations of platelet agonists: epinephrine, adenosine diphosphate, or both. The clinical manifestations involve venous or arterial thrombosis, recurrent pregnancy loss, and fetal growth retardation. To analyze the localization of the thrombotic episodes in a cohort of Mexican mestizo patients with SPS. Between 1992 and 2016, 86 Mexican mestizo patients with SPS as the single thrombophilic condition were prospectively identified; all of them had a history of thrombosis. There were 15 males and 71 females. The thrombotic episodes were arterial in 26 cases and venous in 60 (70%). Arterial thrombosis was mainly pulmonary thromboembolism, whereas venous thromboses were identified most frequently in the lower limbs. Mexican mestizo population with SPS is mainly female; the type I of the condition is the most frequent; both arterial and venous thrombosis can occur, and they are mainly pulmonary embolism and lower limbs venous thrombosis, respectively.

摘要

黏附小板综合征(SPS)是动脉和静脉血栓形成的常见原因,是一种常染色体显性疾病,伴有血小板质量改变和家族性发生。其特征为血小板反应性增高,对低浓度血小板激动剂(肾上腺素、二磷酸腺苷或两者)的血小板聚集性增强。临床表现包括静脉或动脉血栓形成、复发性妊娠丢失和胎儿生长迟缓。为了分析黏附小板综合征墨西哥混血患者队列中血栓形成的定位。1992 年至 2016 年间,前瞻性确定了 86 例作为单一血栓形成倾向的黏附小板综合征墨西哥混血患者;所有患者均有血栓形成史。其中男性 15 例,女性 71 例。26 例为动脉血栓形成,60 例(70%)为静脉血栓形成。动脉血栓形成主要为肺血栓栓塞症,而静脉血栓形成最常见于下肢。黏附小板综合征的墨西哥混血人群主要为女性;I 型最常见;可发生动脉和静脉血栓形成,分别主要为肺栓塞和下肢静脉血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee4/6714947/8a1820d9d5f5/10.1177_1076029619841700-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee4/6714947/8a1820d9d5f5/10.1177_1076029619841700-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aee4/6714947/8a1820d9d5f5/10.1177_1076029619841700-fig1.jpg

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本文引用的文献

1
Primary Thrombophilia in Mexico XII: Miscarriages Are More Frequent in People with Sticky Platelet Syndrome.墨西哥原发性血栓形成倾向研究之十二:血小板黏附综合征患者流产更为常见。
Turk J Haematol. 2017 Aug 2;34(3):239-243. doi: 10.4274/tjh.2016.0411. Epub 2017 Feb 9.
2
Progress in the Understanding of Sticky Platelet Syndrome.黏附血小板综合征研究进展。
Semin Thromb Hemost. 2017 Feb;43(1):8-13. doi: 10.1055/s-0036-1584352. Epub 2016 Jun 14.
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Sticky platelet syndrome: an important cause of life-threatening thrombotic complications.
Maedica (Bucur). 2021 Jun;16(2):268-273. doi: 10.26574/maedica.2020.16.2.268.
血小板黏附综合征:危及生命的血栓形成并发症的一个重要原因。
Expert Rev Hematol. 2016 Jan;9(1):21-35. doi: 10.1586/17474086.2016.1121095. Epub 2015 Dec 9.
4
Sticky platelet syndrome: history and future perspectives.血小板黏附综合征:历史与未来展望
Semin Thromb Hemost. 2014 Jul;40(5):526-34. doi: 10.1055/s-0034-1381235. Epub 2014 Jun 9.
5
Sticky platelet syndrome in patients with uninduced venous thrombosis.未诱导静脉血栓形成患者的黏附血小板综合征。
Turk J Haematol. 2013 Mar;30(1):48-52. doi: 10.5152/tjh.2011.79. Epub 2013 Mar 5.
6
Primary thrombophilia in México X: a prospective study of the treatment of the sticky platelet syndrome.墨西哥原发性血栓形成倾向 X:黏附血小板综合征治疗的前瞻性研究。
Clin Appl Thromb Hemost. 2015 Jan;21(1):91-5. doi: 10.1177/1076029613501543. Epub 2013 Sep 19.
7
Sticky platelet syndrome.黏附性血小板综合征。
Semin Thromb Hemost. 2013 Sep;39(6):674-83. doi: 10.1055/s-0033-1353394. Epub 2013 Aug 10.
8
Nine kindreds of familial sticky platelet syndrome phenotype.九种家族性黏附性血小板综合征表型。
Clin Appl Thromb Hemost. 2013 Jul-Aug;19(4):395-401. doi: 10.1177/1076029612439340. Epub 2012 Mar 19.
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Are the platelets activated in sticky platelet syndrome?在血小板黏附综合征中血小板是否被激活?
Thromb Res. 2011 Jul;128(1):96-7. doi: 10.1016/j.thromres.2011.02.005. Epub 2011 Mar 30.
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Genome-wide meta-analyses identifies seven loci associated with platelet aggregation in response to agonists.全基因组荟萃分析确定了 7 个与激动剂诱导的血小板聚集相关的位点。
Nat Genet. 2010 Jul;42(7):608-13. doi: 10.1038/ng.604. Epub 2010 Jun 6.