[Dysfibrinogenemia and thrombosis. A case report].

Imen Kraiem (1) , Sami Guermazi (2) , Héla Ben Abid (3) , Balkis Meddeb (3)

1 Laboratoire d'Hématologie, Institut Pasteur de Tunis
2 Laboratoire d'hématologie
3 Hematology Department

BACKGROUND: Congenital dysfibrinogenemia is a functional disorder of the fibrinogen that represents a rare cause of thrombophilia. AIM: To report a Tunisian case of the association dysfibrinogenemia and thrombosis. CASE: A woman with inherited dysfibrinogenemia associated with mild tendency to bleeding experienced a deep vein thrombosis of the lower-extremity at 26 years of age and a fatal pulmonary embolism a few years later. Paradoxically coagulation function of fibrinogen was markedly altered in vitro with a significantly prolonged prothrombin time, activated partial thromboplastin time and thrombin time, a functional fibrinogen level that was undetected and a severely impaired fibrin polymerisation. The thromboembolic events in the patient could be related to dysfibrinogenemia since the main causes of thrombophilia were excluded. CONCLUSION: Although it is rare, this cause of thrombophilia must not be misdiagnosed, systematic measuring of prothrombin time, activated partial thromboplastin time and functional fibrinogen might be helpful.

Domains: Life Sciences [q-bio]; Biochemistry, Molecular Biology

Imen Kraiem, Sami Guermazi, Héla Ben Abid, Balkis Meddeb. [Dysfibrinogenemia and thrombosis. A case report].. Tunisie Medicale, 2010, 88 (10), pp.757-60. ⟨pasteur-00620986⟩