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Thromb Haemost 1992; 68(06): 628-633
DOI: 10.1055/s-0038-1646333
Original Article
Schattauer GmbH Stuttgart

Relationships between Haemostatic Factors and Capillary Morphology in Human Diabetic Neuropathy

Isobel Ford
1   The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, United Kingdom
,
Rayaz A Malik
3   The Department of Anatomy, University of Aberdeen, Aberdeen, United Kingdom
,
Paul G Newrick
2   The Department of Medicine Diabetic Unit, Royal Hallamshire Hospital, Sheffield, United Kingdom
,
F Eric Preston
1   The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, United Kingdom
,
John D Ward
2   The Department of Medicine Diabetic Unit, Royal Hallamshire Hospital, Sheffield, United Kingdom
,
Michael Greaves
1   The University Department of Haematology, Royal Hallamshire Hospital, Sheffield, United Kingdom
› Author Affiliations
Further Information

Publication History

Received 19 September 1991

Accepted after revision 15 July 1992

Publication Date:
04 July 2018 (online)

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Summary

We have examined haemostatic factors in 15 diabetic patients with peripheral neuropathy and 10 diabetic patients without clinical complications. Plasma and blood viscosity, fibrinogen, factor VIIIc, von Willebrand factor activity, spontaneous platelet aggregation and fibrinolytic activity were not significantly different between diabetic patients without clinical complications and diabetic patients with peripheral neuropathy. Platelet aggregation was enhanced in diabetic patients with neuropathy compared with those without complications. In the 15 patients with neuropathy and 3 without complications, who underwent biopsy of sural nerve, skin and muscle, associations were found between haemostatic variables and measures of nerve capillary pathology, notably: plasma fibrinogen and nerve capillary basement membrane thickness (r = 0.70, p <0.001); thromboxane B2 production and nerve capillary basement membrane thickness (r = –0.61, p <0.01); plasma fibrinolytic activity and endoneurial capillary lumen size (r = 0.60, p <0.01) and endothelial cell outer perimeter (r = 0.65, p <0.01). The main associations of skin and muscle capillary abnormalities were with measures of in vitro platelet aggregation, and the correlations found with nerve capillary measurements were not echoed in the overlying muscle and skin. The results are supportive of the involvement of haemostatic abnormalities in the pathogenesis of diabetic neuropathy.

 

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