Multiple Organs Thrombosis in Twin Children with Severe Protein C Deficiency

Authors

  • Nongnuch Sirachainan Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Ampaiwan Chuansumrit Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Prut Hanutsaha Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Keywords:

Severe protein C deficiency, Thrombosis

Abstract

Abstract : 33 week-twin-children presented with purpuric lesion and were found to have multiple organ thrombosis. They were diagnosis as double heterozygous protein C deficiency. Quarantine plasma is another option to replace protein C while protein C concentrate is not available in Thailand.

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References

Churchill AJ, Gallagher MJ, Bradbury JA, Minford AM. Clinical manifestations of protein C deficiency: a spectrum within one family. Br J Ophthalmol 2001;85:241-2.

Kirkinen P, Salonvaara M, Nikolajev K, Vanninen R, Heinonen K. Antepartum findings in fetal protein C deficiency. Prenat Diagn 2000;20:746-9.

Seligsohn U, Berger A, Abend M, Rubin L, Attias D, Zivelin A, Repaport SI. Homozygous protein C deficiency manifested by massive venous thrombosis in the newborn. N Engl J Med 1984;310:559-62.

Banes C, Newall F, Higgins S, Carden S, Monagle P. Perinatal management of patients at high risk of homozygous protein C deficiency. Thromb Haemost 2002;88.370-1.

Ergenekon E, Solak B, Ozturk G, Atalay Y, Koc E. Can leucocoria be the first manifestation of protein C deficiency? Br J Ophthalmol 2000;84:120-1.

Charles E. The protein C pathway. Cri Care Med 2000;28:44-8.

Sanz-Rodriguez C, Gil-Fernandez JJ, Zapater P, Pinilla I, Grannados E, Gomez-G de Soria V, Cano J, Sala N, Fernandez-Ranada JM, Gomez-Gomez N. Long term management of homozygous protein C deficiency: Replacement therapy with subcutaneous purified protein C concentrate. Thromb Haemost 1999;81:887-90.

Marlar RA, Montgomery RR, Broekmans AW. Report on the diagnosis and treatment of homozygous protein C deficiency. Report of the working party on homozygous protein C deficiency of the ICTH-Subcommittee on protein C and protein S. Thromb Haemost 1989;61:529-31.

Millar DS, Allgrove J, Rodeck C, Kakkar VV, Cooper DN. A homozygous deletion/insertion mutation in the protein C (PROC) gene causing neonatal purpura fulminans: prenatal diagnosis in an at-risk pregnancy. Blood Coagul Fibrinolysis 1994;5:647-9.

Reitsma PH, Bernardi F, Doig RG, Gandrille S, Greengard JS, Ireland H, Krawczak M, Lind B, Long GL, Poort SR, et al. Protein C' deficiency: a database of multions, 1995 update. Thromb Haemost 1995,73:876-89.

Chuansumrit A, Pandhawong S, Tardtong P, Isarangkura P. The safe blood component for a hemophilia patient: a case report. Southeast Asian J Trop Med Public Health 1993;24(Suppl 1):198-200.

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Published

2022-12-30

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Section

รายงานผู้ป่วย (Case report)