000 01973cam a2200265 4500500
005 20251214025751.0
041 _afre
042 _adc
100 1 0 _aAndrès, Emmanuel
_eauthor
700 1 0 _aTerrade, Jean Edouard
_eauthor
700 1 0 _aJannot, Xavier
_eauthor
700 1 0 _aHabib, Charlène
_eauthor
700 1 0 _aGhiura, Cosmina
_eauthor
700 1 0 _aTaquet, Marie-Caroline
_eauthor
700 1 0 _aDiallo, Alpha
_eauthor
700 1 0 _aNasco, Edward
_eauthor
700 1 0 _aDalmas, Marie-Caroline
_eauthor
700 1 0 _aLorenzo-Villalba, Noël
_eauthor
245 0 0 _aThe role of thrombophilia testing in 2025: An update for medical practice and points for consideration
260 _c2025.
500 _a17
520 _aThrombophilia testing aims to identify abnormalities that promote venous thrombosis, but its use is now limited. It is only recommended in specific cases: recurrent thrombosis, thrombosis at unusual sites, a family history of early-onset events, or suspected antiphospholipid syndrome. Testing includes the detection of genetic mutations (factor V Leiden, prothrombin G20210A, and methylenetetrahydrofolate reductase [MTHFR] mutations) and deficiencies in antithrombin, protein C, and protein S, as well as elevated homocysteine levels and acquired abnormalities such as antiphospholipid syndrome (APS). It may also include testing for myeloproliferative syndromes and paroxysmal nocturnal hemoglobinuria. However, its impact on patient management remains limited, as the presence of hereditary thrombophilia does not always alter the duration of anticoagulant treatment. Furthermore, the excessive use of these tests can lead to over-medicalization and significant costs without clear clinical benefit.
786 0 _nCahiers Santé Médecine Thérapeutique | 34 | 4 | 2025-10-01 | p. 273-278 | 2780-8858
856 4 1 _uhttps://stm.cairn.info/journal-cahiers-sante-medecine-therapeutique-2025-4-page-273?lang=en&redirect-ssocas=7080
999 _c1572957
_d1572957