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Abnormal prothrombin time

MedGen UID:
663294
Concept ID:
C0580412
Finding
Synonyms: Abnormal PT; Prothrombin time abnormal
SNOMED CT: Prothrombin time abnormal (165568006)
 
HPO: HP:0032199

Definition

Any deviation from the normal amount of time to coagulation in the prothrombin time test, which is a measure of the extrinsic pathway of coagulation. The results of the prothrombin time test are often expressed in terms of the International normalized ratio (INR), which is calculated as a ratio of the patient's prothrombin time (PT) to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using the formula [from HPO]

Conditions with this feature

Bone fragility with contractures, arterial rupture, and deafness
MedGen UID:
382811
Concept ID:
C2676285
Disease or Syndrome
BCARD syndrome is an autosomal recessive connective tissue disorder characterized by bone abnormalities, including low bone mineral density, scoliosis, contractures of the fingers and other joints, prominent knees, and rare pathologic fractures; cataract and other ocular abnormalities, including high myopia, optically empty vitreous, and risk for retinal detachment; risk of arterial rupture due to vascular aneurysm or dissection; and sensorineural deafness. Affected individuals also exhibit recognizable craniofacial dysmorphisms, and variable skin features have been observed, including reduced palmar creases, soft skin with easy bruising, and blistering. Developmental delay, which is present in most patients, may be attributable to sensory deficits or medical complications (Ewans et al., 2019).
Ehlers-Danlos syndrome, classic-like, 3
MedGen UID:
1861383
Concept ID:
C5935631
Disease or Syndrome
Ehlers-Danlos syndrome classic-like-3 (EDSCLL3) is an autosomal dominant connective tissue disorder characterized by joint hypermobility and frequent joint dislocations, atrophic scarring, prolonged bleeding time, and age-related aortic dilatation and rupture (Hadar et al., 2024). For a discussion of genetic heterogeneity of classic-like Ehlers-Danlos syndrome, see 606408. For a discussion of the classificiation of Ehlers-Danlos syndrome, see EDSCL1 (130000).

Professional guidelines

PubMed

Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238

Recent clinical studies

Etiology

Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Wicklund BM
Hematology Am Soc Hematol Educ Program 2011;2011:170-7. doi: 10.1182/asheducation-2011.1.170. PMID: 22160030
Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238
Prieto JA, Mastrobattista JM, Blanco JD
Am J Perinatol 1995 May;12(3):220-2. doi: 10.1055/s-2007-994457. PMID: 7612100

Diagnosis

Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Kamal AH, Tefferi A, Pruthi RK
Mayo Clin Proc 2007 Jul;82(7):864-73. doi: 10.4065/82.7.864. PMID: 17605969
Saif MW
Clin Lab Haematol 2005 Aug;27(4):278-82. doi: 10.1111/j.1365-2257.2005.00697.x. PMID: 16048498
Prieto JA, Mastrobattista JM, Blanco JD
Am J Perinatol 1995 May;12(3):220-2. doi: 10.1055/s-2007-994457. PMID: 7612100

Therapy

Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Tufano A, Ageno W, Di Micco P, Niglio A, Rosa V, Ballaz A, Braester A, Rubio CM, Isern V, Imbalzano E, Monreal M; RIETE Investigators
Thromb Res 2018 Apr;164:69-74. Epub 2018 Mar 2 doi: 10.1016/j.thromres.2018.02.143. PMID: 29499439
Tavakoli HR, DeMaio M, Wingert NC, Rieg TS, Cohn JA, Balmer RP, Dillard MA
Psychosomatics 2012 Nov-Dec;53(6):559-65. doi: 10.1016/j.psym.2012.05.001. PMID: 23157994
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238

Prognosis

Teeter W, Neal MD, Brown JB, MacLeod JBA, Vesselinov R, Kozar RA
Shock 2024 Sep 1;62(3):380-385. Epub 2024 Jun 24 doi: 10.1097/SHK.0000000000002416. PMID: 38920139
Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Tufano A, Ageno W, Di Micco P, Niglio A, Rosa V, Ballaz A, Braester A, Rubio CM, Isern V, Imbalzano E, Monreal M; RIETE Investigators
Thromb Res 2018 Apr;164:69-74. Epub 2018 Mar 2 doi: 10.1016/j.thromres.2018.02.143. PMID: 29499439
Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, Josephson CD
J Pediatr 2012 Feb;160(2):204-209.e3. Epub 2011 Sep 16 doi: 10.1016/j.jpeds.2011.08.019. PMID: 21925679

Clinical prediction guides

Teeter W, Neal MD, Brown JB, MacLeod JBA, Vesselinov R, Kozar RA
Shock 2024 Sep 1;62(3):380-385. Epub 2024 Jun 24 doi: 10.1097/SHK.0000000000002416. PMID: 38920139
Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, Josephson CD
J Pediatr 2012 Feb;160(2):204-209.e3. Epub 2011 Sep 16 doi: 10.1016/j.jpeds.2011.08.019. PMID: 21925679
Akmal M, Massry SG
Am J Nephrol 1990;10(1):49-52. doi: 10.1159/000168053. PMID: 2343880

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