Enhanced Blood Coagulation and Fibrinolysis in a Patient with Primary Amyloidosis

E Perlin; P Brakman; H. S Berg; P. T Kirchner; R. B Moquin; T Astrup

doi:10.1055/s-0038-1653650

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 1971; 26(01): 009-014
DOI: 10.1055/s-0038-1653650

Originalarbeiten – Original Articles – Travaux Originaux

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Enhanced Blood Coagulation and Fibrinolysis in a Patient with Primary Amyloidosis

E Perlin

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

,

P Brakman

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

,

H. S Berg

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

,

P. T Kirchner

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

,

R. B Moquin

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

,

T Astrup

¹Hematology Branch, Naval Hospital, National Naval Medical Center, Bethesda, Maryland 20014

²Institute for Medical Research of the James F. Mitchell Foundation, Washington, D. C. 20015

› Author Affiliations

Abstract

Summary

A case of primary amyloidosis associated with blood coagulation abnormalities is presented. Enhancement of coagulation, suspected because of acceleration of the thromboplastin activation test and of abnormal thrombelastography patterns, was confirmed by the presence of thrombi observed at necropsy. Increased systemic fibrinolysis was evidenced by accelerated clot lysis, increased euglobulin activity, and decreased plasminogen. The presence of fragmented red cells in the peripheral blood smear was consistent with a microangiopathic process. Despite these abnormalities, there were no major changes in levels of coagulation factors. Episodes of massive bleeding occurred when major changes in coagulation or fibrinolysis were absent, supporting the suggestion that vascular infiltration by amyloid is a major cause of hemorrhage.

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References

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