eMedicine Specialties > Hematology > Coagulation, Hemostasis, and Disorders
Dysfibrinogenemia: Follow-up
Updated: Nov 17, 2009
Follow-up
Prognosis
- Prognosis is good for patients with congenital dysfibrinogenemias. Events of bleeding or thrombosis are usually relatively mild.
- Acquired dysfibrinogenemia carries a worse prognosis because it is due to a severely damaged liver.
Patient Education
- Educate patients with congenital dysfibrinogenemias that it is an inherited condition and other family members may also be affected.
Miscellaneous
Medicolegal Pitfalls
- Failure to diagnose and treat bleeding or thrombosis
- Failure to counsel patients that other family members may be affected
Special Concerns
- Women who experience multiple miscarriages may benefit from prophylactic administration of cryoprecipitate.
More on Dysfibrinogenemia |
| Overview: Dysfibrinogenemia |
| Differential Diagnoses & Workup: Dysfibrinogenemia |
| Treatment & Medication: Dysfibrinogenemia |
Follow-up: Dysfibrinogenemia |
| References |
| Further Reading |
| « Previous Page |
References
Acharya SS, Dimichele DM. Rare inherited disorders of fibrinogen. Haemophilia. Nov 2008;14(6):1151-8. [Medline].
Kotlin R, Reicheltova Z, Maly M, et al. Two cases of congenital dysfibrinogenemia associated with thrombosis - Fibrinogen Praha III and Fibrinogen Plzen. Thromb Haemost. Sep 2009;102(3):479-86. [Medline].
Morris TA, Marsh JJ, Chiles PG, et al. High prevalence of dysfibrinogenemia among patients with chronic thromboembolic pulmonary hypertension. Blood. Aug 27 2009;114(9):1929-36. [Medline].
Miesbach W, Galanakis D, Scharrer I. Treatment of patients with dysfibrinogenemia and a history of abortions during pregnancy. Blood Coagul Fibrinolysis. Jul 2009;20(5):366-70. [Medline].
Bazzan M, Tamponi G, Vaccarino A, et al. Natural and acquired inhibitors of hemostasis in selected symptomatic outpatients with venous thromboembolic disease. Haematologica. Jul-Aug 1997;82(4):420-2. [Medline].
Galanakis DK. Inherited dysfibrinogenemia: emerging abnormal structure associations with pathologic and nonpathologic dysfunctions. Semin Thromb Hemost. 1993;19(4):386-95. [Medline].
Haverkate F, Samama M. Familial dysfibrinogenemia and thrombophilia. Report on a study of the SSC Subcommittee on Fibrinogen. Thromb Haemost. Jan 1995;73(1):151-61. [Medline].
Martinez J. Congenital dysfibrinogenemia. Curr Opin Hematol. Sep 1997;4(5):357-65. [Medline].
Martinez J. Quantitative and qualitative disorders of fibrinogen. In: Hoffman, et al, eds. Hematology: Basic Principles and Procedures. 2nd ed. Philadelphia, Pa: Churchill Livingstone;1995:1703-13, 2011-13.
Mori T, Ikeda Y. [Acquired dysfibrinogenemia]. Ryoikibetsu Shokogun Shirizu. 1998;(21 Pt 2):529-31. [Medline].
Mosesson MW. Dysfibrinogenemia and thrombosis. Semin Thromb Hemost. 1999;25(3):311-9. [Medline].
Rodgers GM, Greenberg CS. Inherited coagulation disorders. In: Lee GR, Foerster J, Lukens J, Paraskevas F, Greer JP, Rodgers GM, eds. Wintrobe's Clinical Hematology. 10th ed. Baltimore, Md: Williams & Wilkins;1999:1702-3.
Schorer AE, Singh J, Basara ML. Dysfibrinogenemia: a case with thrombosis (fibrinogen Richfield) and an overview of the clinical and laboratory spectrum. Am J Hematol. Nov 1995;50(3):200-8. [Medline].
Further Reading
Clinical guidelines:
Guidelines for the use of fresh-frozen plasma, cryoprecipitate and cryosupernatant. British Committee for Standards in Haematology - Professional Association. 2004 Jul. 18 pages. NGC:006191
Clinical trials:
Fibrinogen Concentrate (Human) − Efficacy and Safety Study
Keywords
congenital dysfibrinogenemia, fibrinogen, fibrin, fibrinolysis, clotting cascade, coagulation factor, coagulation factors, clotting factor, clotting factors, coagulation disorders, coagulation disorder, abnormal clot formation, fibrinopeptide, thrombotic events
Follow-up: Dysfibrinogenemia