Thalassemia and the hypercoagulable state

Thalassemia, an inherited hemolytic disorder, is associated with a high incidence of thrombosis. The major mechanisms underlying thromboembolism (TE) are an abnormal red blood cell surface, platelet activation and endothelial cell activation. A higher risk of TE is found in splenectomized patients d...

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Main Author: Nongnuch Sirachainan
Other Authors: Mahidol University
Format: Review
Published: 2018
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/32049
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spelling th-mahidol.320492018-10-19T12:10:49Z Thalassemia and the hypercoagulable state Nongnuch Sirachainan Mahidol University Medicine Thalassemia, an inherited hemolytic disorder, is associated with a high incidence of thrombosis. The major mechanisms underlying thromboembolism (TE) are an abnormal red blood cell surface, platelet activation and endothelial cell activation. A higher risk of TE is found in splenectomized patients due to thrombocytosis and increased abnormal RBCs in the circulation. Regular RBC transfusions can reduce the proportion of abnormal RBCs and suppress erythropoiesis. Regular transfusion may also reduce levels of circulating coagulation markers and reduce elevated pulmonary artery pressure. To prevent thromboembolic events, aspirin is now recommended for splenectomized patients with thrombocytosis. © 2013 Elsevier Ltd. 2018-10-19T05:10:49Z 2018-10-19T05:10:49Z 2013-12-01 Review Thrombosis Research. Vol.132, No.6 (2013), 637-641 10.1016/j.thromres.2013.09.029 18792472 00493848 2-s2.0-84889886728 https://repository.li.mahidol.ac.th/handle/123456789/32049 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84889886728&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Nongnuch Sirachainan
Thalassemia and the hypercoagulable state
description Thalassemia, an inherited hemolytic disorder, is associated with a high incidence of thrombosis. The major mechanisms underlying thromboembolism (TE) are an abnormal red blood cell surface, platelet activation and endothelial cell activation. A higher risk of TE is found in splenectomized patients due to thrombocytosis and increased abnormal RBCs in the circulation. Regular RBC transfusions can reduce the proportion of abnormal RBCs and suppress erythropoiesis. Regular transfusion may also reduce levels of circulating coagulation markers and reduce elevated pulmonary artery pressure. To prevent thromboembolic events, aspirin is now recommended for splenectomized patients with thrombocytosis. © 2013 Elsevier Ltd.
author2 Mahidol University
author_facet Mahidol University
Nongnuch Sirachainan
format Review
author Nongnuch Sirachainan
author_sort Nongnuch Sirachainan
title Thalassemia and the hypercoagulable state
title_short Thalassemia and the hypercoagulable state
title_full Thalassemia and the hypercoagulable state
title_fullStr Thalassemia and the hypercoagulable state
title_full_unstemmed Thalassemia and the hypercoagulable state
title_sort thalassemia and the hypercoagulable state
publishDate 2018
url https://repository.li.mahidol.ac.th/handle/123456789/32049
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