VON-WILLEBRAND-FACTOR AND FACTOR-XIII IN CHILDREN WITH HENOCH-SCHONLEIN PURPURA

被引:46
作者
DEMATTIA, D [1 ]
PENZA, R [1 ]
GIORDANO, P [1 ]
DELVECCHIO, GC [1 ]
ACETO, G [1 ]
ALTOMARE, M [1 ]
SCHETTINI, F [1 ]
机构
[1] UNIV BARI,DIPARTIMENTO BIOMED ETA EVOLUT,PEDIAT CLIN 1,I-70124 BARI,ITALY
关键词
FACTOR XIII; VON WILLEBRAND FACTOR; HENOCH-SCHONLEIN PURPURA; COAGULATION;
D O I
10.1007/BF00860949
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Levels of von Willebrand factor antigen (vWf: Ag) and factor XIII activity (F XIII) were studied in relation to the severity of clinical symptoms (scored from 0 to 3) and to immunological parameters [IgA, C3, C4, and circulating immune complexes (CIC)] in 16 children (7 males, 9 females, aged 3-11 years) with Henoch-Schonlein purpura (HSP) at presentation. vWf:Ag was increased in 7 patients, F XIII activity was decreased in 6. In all children we found high levels of IgA, while C3 and C4 levels were normal; CIC were elevated in 11. vWf:Ag correlated with clinical score and with IgA and CIC, probably as a result of immune-mediated endothelial cell damage. The haemostatic alterations observed in HSP are important for understanding the pathophysiology of the disease.
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收藏
页码:603 / 605
页数:3
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