postpartum hemorrhage in a patient with factor xii deficiency: a case report”

by Cale Bruen 4 min read

Hereditary factor XII deficiency in an adult patient: A case report

10 hours ago Factor XII deficiency is a known rare autosomal recessive trait that presents with increased activated partial thromboplastin time (APTT) without increased bleeding tendency [1]. … >> Go To The Portal


Patients with Factor XII deficiency do not have excessive bleeding tendency despite prolongation of the activated partial thromboplastin time (APTT) in their serum. Postpartum Hemorrhage (PPH) is a potentially fatal obstetric complication, and its presence in the setting of a prolonged APTT can be worrisome to the treating obstetrician.

Full Answer

Is Factor XII deficiency associated with bleeding?

General Discussion. Factor XII deficiency is a rare genetic blood disorder that causes prolonged clotting (coagulation) of blood in a test tube without the presence of prolonged clinical bleeding tendencies. It is caused by a deficiency of the factor XII (Hageman factor), a plasma protein (glycoprotein).

Which laboratory test is prolonged in a Factor XII deficiency?

The physician will order a blood test called PT and PTT. These tests measure the time it takes for a clot to form. In the case of Factor XII deficiency, the PTT will be markedly prolonged but the PT will remain normal. The coagulation time will be longer than normal.

What is factor XII in the blood?

Factor XII (FXII) is a coagulation protein that is essential for surface-activated blood coagulation tests but whose deficiency is not associated with bleeding. For over forty years, investigators in hemostasis have not considered FXII important because its deficiency is not associated with bleeding.

What is the other name for clotting factor XII?

Hageman factorFactor XII is part of a group of proteins that act in a specific order to create a blood clot after an injury. Factor XII is often called Hageman factor.

How do you test for factor deficiencies?

Tests to diagnose factor I deficiency measure the amount of fibrinogen in the blood and the time it takes for the blood to clot during the prothrombin time (PT) test, activated partial thromboplastin time (aPTT) test and thrombin clotting time (TCT) test.

What causes coagulation factor deficiency?

Factor X is one such coagulation factor. Factor X deficiency is often caused by an inherited defect in the factor X gene. This is called inherited factor X deficiency. Bleeding ranges from mild to severe depending on how severe the deficiency is.

What is Factor XII deficiency?

Factor XII deficiency is an inherited disorder that affects a protein (factor XII) involved in blood clotting. While a lack of factor XII does not cause affected individuals to bleed abnormally, the blood takes longer than normal to clot in a test tube.

What is factor XII called?

To use the sharing features on this page, please enable JavaScript. Factor XII deficiency is an inherited disorder that affects a protein (factor XII) involved in blood clotting.

What is factor XII activity?

The factor XII assay is a blood test to measure the activity of factor XII. This is one of the proteins in the body that helps the blood clot.

Where is factor XII found?

Factor XII and PK are proenzymes. They are synthesized in the liver along with HK. PK also forms a complex with HK and factor XI. This complex is located on endothelial cells.

What activates factor 12 in the blood?

In vivo, factor XII is activated by contact to polyanions. Activated platelets secrete inorganic polymers, polyphosphates. Contact to polyphosphates activates factor XII and initiates fibrin formation by the intrinsic pathway of coagulation with critical importance for thrombus formation.

What are the five stages of blood clotting?

The mechanism of hemostasis can divide into four stages. 1) Constriction of the blood vessel. 2) Formation of a temporary “platelet plug." 3) Activation of the coagulation cascade. 4) Formation of “fibrin plug” or the final clot.

Which of the following tests is prolonged in cases of factor II deficiency?

Activated partial thromboplastin time (aPTT) is prolonged.

What are the coagulation factors affected by prolonged PT?

A prothrombin time within the 11 -15 second range (depends on the source of thromboplastin used) indicates that the patient has normal amounts of the above clotting factors. A prolonged prothrombin time indicates a deficiency in any of factors VII, X, V, prothrombin, or fibrinogen.

Which of the following coagulation test results is normal in patient with classic VWD?

Prothrombin Time (PT) Test The results of this test will be normal among most people with VWD.

What is prothrombin deficiency?

Prothrombin deficiency is a disorder caused by a lack of a protein in the blood called prothrombin. It leads to problems with blood clotting (coagulation). Prothrombin is also known as factor II (factor two).