Kagawa H, Okubo S
First Department of Internal Medicine, Kansai Medical University, Moriguchi-city.
Ryumachi. 1993 Oct;33(5):416-23.
We studied the relationship between vascular complications and coagulation and fibrinolysis parameters in ten subjects with Behçet's disease. We found that patients with Behçet's disease were in a state of hypercoagulation and hyperfibrinolysis. In vascular Behçet's disease in particular, coagulation and fibrinolysis parameters appeared to be indices of vascular complications. Analysis of the multimeric structure of von Willebrand factor (vWF) revealed a tendency for large multimer of vWF to increase in patients with Behçet's disease with accompanying vascular complications, whereas such increase were not observed in patients with Behçet's disease without any vascular complications. Therefore, analysis of vWF multimeric structure and the determination of coagulation and fibrinolysis parameters in plasma appear to be useful indicators of vascular complications in Behçet's disease.
我们研究了10例白塞病患者血管并发症与凝血及纤溶参数之间的关系。我们发现白塞病患者处于高凝和高纤溶状态。特别是在血管型白塞病中,凝血和纤溶参数似乎是血管并发症的指标。对血管性血友病因子(vWF)多聚体结构的分析显示,伴有血管并发症的白塞病患者中,vWF的大多聚体有增加的趋势,而在无任何血管并发症的白塞病患者中未观察到这种增加。因此,vWF多聚体结构分析及血浆中凝血和纤溶参数的测定似乎是白塞病血管并发症的有用指标。