Presentation
We present the crystal structure of the LMAN1/MCFD2 complex and relate it to patient mutations. Circular dichroism data show that the majority of the substitution mutations give rise to a disordered or severely destabilized MCFD2 protein. [ncbi.nlm.nih.gov]
Hematological
- Easy Bruising
The bleeding manifestations were: easy bruising, post-traumatic bleeding, bleeding after tooth extractions. [ncbi.nlm.nih.gov]
Epistaxis, easy bruising, post-surgical or post partum bleeding and menorrhagia are the most common symptoms. Hemarthrosis and muscular hematomas may occur. The symptoms are usually mild. [orpha.net]
bruising, nose and mouth bleeds, and soft tissue bleeds are also common; joint bleeding is relatively uncommon Women with afibinogenemia have an increased risk of spontaneous abortion Persons with dysfibrinogenemia may have a disposition to thrombosis [ilbcdi.org]
SYMPTOMS OF AFIBRINOGENEMIA • Nosebleeds (epistaxis) • Easy bruising • Menorrhagia • Muscle bleeds • Cutaneous ecchymoses and hematomas 34. [slideshare.net]
In cases of severe factor V deficiency, the symptoms often include: abnormal bleeding after giving birth, having surgery, or being injured abnormal bleeding under the skin umbilical cord bleeding at birth nosebleeds bleeding gums easy bruising heavy or [healthline.com]
Workup
Available online at http://emedicine.medscape.com/article/209742-workup. Accessed August 2016. Mir, M.A. (Updated 2016 May 12). Nonplatelet hemostatic disorders. Medscape. Available online at http://emedicine.medscape.com/article/210467-overview. [labtestsonline.org]
Treatment
These tests should be performed by a specialist at a hemophilia/bleeding disorders treatment centre. Treatment There are three treatments available for combined factor V and factor VIII deficiency. [wfh.org]
Management and treatment Management aims at controlling the bleeding and includes treatments with fresh frozen plasma and desmopressin administration. Prognosis The prognosis is favorable for moderate forms of the disease. [orpha.net]
Explains the causes of this blood disorder, its symptoms, diagnosis and treatment. [haemophilia.org.au]
Treatment of bleeding episodes requires a source of both FV and FVIII; replacement of FV is achieved only through use of fresh-frozen plasma (FFP) and replacement of FVIII by FFP and desmopressin or specific FVIII concentrates (plasma-derived or recombinant [ncbi.nlm.nih.gov]
Prognosis
Prognosis The prognosis is favorable for moderate forms of the disease. Management of patients with more severe forms should be carried out at a specialized centre. [orpha.net]
Prognosis All the mentioned therapeutic options make VKCFD a disease with good prognosis and a low impact on the quality of life, with permanent disabling consequences only resulting in severely affected patients who have been diagnosed after critical [ojrd.biomedcentral.com]
Psychiatry related information on F5 Their use as adjuncts for the diagnosis, prognosis, prediction of disease or targeting therapy for these disorders has begun, good examples being the Factor V Leiden mutation for venous-thromboembolism, lipoprotein [wikigenes.org]
Etiology
Etiology Mutations in a sorting receptor that recognizes carbohydrate ligands were characterized as the cause of the combined deficiency of coagulation factors V and VIII. [humpath.com]
Etiology Combined deficiency of factor V and factor VIII is caused by mutations either in the LMAN1 gene (chromosome 18; q21) or in the MCFD2 gene (chromosome 2). [orpha.net]
If a hereditary etiology for the decrease appears likely, the diagnosis can be confirmed by measuring the factor in relatives. [mghlabtest.partners.org]
[…] thrombasthenia 1 in 1,000,000 Autosomal recessive Bernard-Soulier syndrome < 1 in 1,000,000 Autosomal recessive Gray platelet syndrome Rare Autosomal dominant, recessive or X-linked recessive Wiskott-Aldrich syndrome 1 in 1,000,000 X-linked recessive Etiology [pathologyoutlines.com]
ETIOLOGY AND PATHOGENESIS OF HEMOPHILIA FACTOR IX a activates Factor X in the presence of Factor VIII a, phospholipids, activated platelets and calcium. [slideshare.net]
Epidemiology
Management of Acute Hemorrhage Platelets Plasma and Specialized Coagulation Concentrate New Approaches for the Therapy of Bleeding Disorders Overview of Venous Thromboembolism Thrombophilia Genetics Epidemiology and Risk Factors for Venous Clinical Manifestations [books.google.com]
Summary Epidemiology Prevalence is estimated between 1/100,000 and 1/1,000,000. Clinical description The condition is more prevalent in the Mediterranean area and in areas where consanguineous marriages are common. [orpha.net]
Relevant External Links for MCFD2 Genetic Association Database (GAD) MCFD2 Human Genome Epidemiology (HuGE) Navigator MCFD2 Atlas of Genetics and Cytogenetics in Oncology and Haematology: MCFD2 No data available for Genatlas for MCFD2 Gene Bleeding due [genecards.org]
Amy Geddis at [email protected] » International Epidemiological Study of Neonatal Purpura Fulminans -- A Web-based registry created under the auspices of the ISTH and hosted by The Hospital for Sick Children, Toronto, Canada. [isth.org]
[…] reticulum-Golgi gene ERGIC 53 on #18 that transports these factors), combined factors II, VII, IX and X deficiency (due to mutation in gamma-glutamyl carboxylase gene, whose protein carboxylates glutamate residues in vitamin K-dependent coagulation factors) Epidemiology [pathologyoutlines.com]
Pathophysiology
Manifestations and Diagnosis of Venous Venous Thrombosis in Unusual Sites Victor J Marder Hylton V Joffe and Sam Schulman Prevention of Venous Thromboembolic Disease Treatment of Venous Thromboembolic Disease Overview of Arterial Thrombotic Disorders Pathophysiology [books.google.com]
Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Factor VIII is synthesized in the liver, and perhaps in other tissues. [mayomedicallaboratories.com]
Cooper DN, Millar DS, Wacey A, et al, "Inherited Factor X Deficiency: Molecular Genetics and Pathophysiology," Thromb Haemost, 1997, 78(1):161-72. 16. [mghlabtest.partners.org]
Blood coagulation Screening di polimorfismi genetici associati al rischio di insorgenza di patologie cardiovascolari PATHOPHYSIOLOGY In the normal person, factor V functions as a cofactor to allow factor Xa to activate an enzyme called thrombin. [flipper.diff.org]
These six categories correspond to distinct pathophysiologic mechanisms with distinct clinical features and therapeutic requirements. Classification of VWD 1. All VWD is caused by mutations at the VWF locus. 2. [haemophilia.org.za]
Prevention
[…] of Venous Thromboembolic Disease Treatment of Venous Thromboembolic Disease Overview of Arterial Thrombotic Disorders Pathophysiology of Atherothrombosis Prevention of Thromboembolic Stroke in Patients with Acute Thrombolytic Therapy Unusual Sites of [books.google.com]
The goal of treatment is to prevent bleeds and the damage associated with bleeding. Quality medical care from health care providers with expertise in this bleeding disorder can help prevent many serious problems. [glhf.org]
This is known as replacement therapy, and it can be used to prevent bleeding or to stop bleeding when it occurs. [flipper.diff.org]
Inherited thrombophilia: implications for prevention and treatment of venous thromboembolism. Semin Thromb Hemost 2009; 35 : 683–694. 188. Bezemer ID, Doggen CJ, Vos HL, Rosendaal FR. [nature.com]
Plasma replacement is given to pregnant women to prevent spontaneous abortions. Deficiency of Factor XIII can be corrected with infusions of fresh frozen plasma or factor XIII concentrates. [haemophilia.org.za]