Barkagan Z S, Sukhanova G A, Belykh V I, Shadrina O L
Klin Med (Mosk). 1994;72(6):26-9.
Mitral prolapse is frequently encountered in association with other manifestations of mesenchymal dysplasia (skin hyperelastosis, joint hypermobility, dislocations, etc.) and occasional bleedings. Of 35 cases reported, 17 had petechiae and ecchymoses, 1 had hematuria, the rest suffered from bleedings: nasal (22 cases), profuse menstrual (19 cases), long-term extraction and cut bleedings (9 cases), gastrointestinal (3 cases). Hemorrhages of different sites often occurred in combination. Hemostatic investigations revealed: platelet aggregation dysfunction, Willebrand syndrome, end coagulation disturbances, lack or anomalies of factors VII, X and II (14, 17, 12 and 4 patients, respectively).
二尖瓣脱垂常与间充质发育异常的其他表现(皮肤弹性过度、关节活动过度、脱位等)及偶发性出血相关。在报告的35例病例中,17例有瘀点和瘀斑,1例有血尿,其余患者有出血情况:鼻出血(22例)、月经过多(19例)、长时间拔牙及割伤出血(9例)、胃肠道出血(3例)。不同部位的出血常合并发生。止血检查显示:血小板聚集功能障碍、血管性血友病、凝血终末障碍、因子VII、X和II缺乏或异常(分别为14例、17例、12例和4例患者)。