Muntean W, Petek W
Eur J Pediatr. 1980 Aug;134(2):135-8. doi: 10.1007/BF01846032.
A 2 2/12 years old boy developed a "lupus anticoagulant" after measles. Fibrinogen concentration and activity of factors II, V, VII, VIII, IX, X, XI and XII were normal, but partial thromboplastin time and thromboplastin time were prolonged. Thrombin time was within the normal range. Mixing normal plasma with the patient's plasma immediately prolonged the partial thromboplastin time, and incubation of the sample did not increase the inhibition. The immunglobulin fraction prepared from the patient's plasma on DEAE-sephacel also prolonged the partial thromboplastin time in cross mixing experiments. The thrombocyte count and thrombocyte functions were normal. In spite of the pathological partial thromboplastin and thromboplastin times, surgery was performed without excessive bleeding during the operation and without delayed wound healing.
一名2又2/12岁的男孩在患麻疹后出现了“狼疮抗凝物”。纤维蛋白原浓度以及因子II、V、VII、VIII、IX、X、XI和XII的活性均正常,但部分凝血活酶时间和凝血活酶时间延长。凝血酶时间在正常范围内。将正常血浆与患者血浆立即混合可使部分凝血活酶时间延长,样本孵育后抑制作用未增强。在交叉混合实验中,用DEAE-葡聚糖凝胶从患者血浆中制备的免疫球蛋白部分也延长了部分凝血活酶时间。血小板计数和血小板功能正常。尽管部分凝血活酶时间和凝血活酶时间异常,但手术过程中未出现过多出血,伤口愈合也未延迟。