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Favourable outcome of multisystem venous thrombosis associated with novel SERPINC1 mutation after treated with dabigatran: a case report with 7-year follow-up

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Geriatr, Tongji Med Coll, Wuhan 430030, Peoples R China [2]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Gen Med, Wuhan 430030, Peoples R China [3]Yangxin Cty Gen Hosp, Dept Gen Med, Yangxin 435200, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Hematol, Wuhan 430030, Peoples R China
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关键词: Thrombophilia Venous thrombosis Antithrombin deficiency SERPINC1 Dabigatran

摘要:
Background: Mutations in SERPINC1 lead to deficiency in antithrombin (AT) which is an endogenous anticoagulant of normal hemostasis and could result in venous thromboembolism (VTE). Case presentation: A 61-year-old male patient with recurrent thrombosis returned to the hospital with multiple cerebral thrombosis after voluntary cessation of dabigatran therapy. Laboratory tests revealed a type I AT deficiency in this patient and further whole exome sequencing (WES) identified a novel heterozygous frameshift duplication (c.233_236dup, p.Val80Alafs*26) in SERPINC1 gene. Long-term dabigatran treatment was given and no recurrence or side effects were found within the followed 5 years. Conclusion: A multisystem VTE patient with a novel SERPINC1 mutation (c.233_236dup, p.Val80Alafs*26) reached a favourable outcome after dabigatran treatment.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 外周血管病
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 血液学 3 区 外周血管病
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出版当年[2020]版:
Q1 PERIPHERAL VASCULAR DISEASE Q2 HEMATOLOGY
最新[2023]版:
Q2 HEMATOLOGY Q2 PERIPHERAL VASCULAR DISEASE

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Geriatr, Tongji Med Coll, Wuhan 430030, Peoples R China
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