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041 _afre
042 _adc
100 1 0 _aMarsch, Wolfgang C.
_eauthor
700 1 0 _a Komatsuzaki, Shoko
_eauthor
700 1 0 _a Mueller, Astrid
_eauthor
700 1 0 _a Hagemann, Monika
_eauthor
700 1 0 _a Lange, Danica
_eauthor
700 1 0 _a Maemecke, Larissa
_eauthor
700 1 0 _a Villavicencio-Lorini, Pablo
_eauthor
700 1 0 _a Hoffmann, Katrin
_eauthor
245 0 0 _aLivedoid vasculopathy: does hyperhomocysteinaemia play an aetiological role?
260 _c2019.
500 _a14
520 _aBackground: Livedoid vasculopathy (LV) has been shown to be associated with hypercoagulability. However, relevant genetic and exogenous thrombophilic factors are not fully determined. Objectives: To evaluate the frequency of hyperhomocysteinaemia (HHCE) and genotypes of hypercoagulative factors in LV patients. Material and Methods: Plasma homocysteine level was measured in 42 LV patients. Polymorphism of MTHFR (677C > T and 1298A > C), PAI1 (-675 5G/4G and -844A > G), and F2 (20210G > A), and the F5 Leiden mutation, as well as biochemical parameters for hypercoagulability, were analysed. Results: Of the LV patients, 62% revealed mild HHCE. Polymorphisms of MTHFR were observed in 75% and 56% and the PAI1 -675 5G/4G polymorphism in 100% and 83% of patients with and without HHCE, respectively. All LV patients with renal failure had mild HHCE. A high level of comorbidity of hypertension (99%) and diabetes type 2 (44%) were noted. Conclusion: HHCE seems to play a major pathogenetic role in LV. A high prevalence of further procoagulative factors might support the view that LV is a “complex disease”.
690 _aMTHFR
690 _aPAI1
690 _aF2
690 _alivedoid vasculopathy
690 _ahypercoagulative factor
690 _ahyperhomocysteinaemia
690 _aF5 Leiden
786 0 _nEuropean Journal of Dermatology | 29 | 3 | 2019-05-01 | p. 287-293 | 1167-1122
856 4 1 _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2019-3-page-287?lang=en&redirect-ssocas=7080
999 _c602118
_d602118