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Reduced prothrombin consumption

MedGen UID:
867367
Concept ID:
C4021732
Finding
Synonym: Poor prothrombin consumption
 
HPO: HP:0003337

Definition

The prothrombin consumption test measures the formation of intrinsic thromboplastin by determining the residual serum prothrombin after blood clotting is complete. If there is a defect in the process, less prothrombin will be converted to thrombin than normal (less prothrombin is consumed). This test may be abnormal with conditions including deficiency of factors VIII or IX, with circulating anticoagulants, thrombocytopenia. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVReduced prothrombin consumption

Conditions with this feature

Tatsumi factor deficiency
MedGen UID:
336460
Concept ID:
C1848931
Disease or Syndrome
Platelet-type bleeding disorder 17
MedGen UID:
396078
Concept ID:
C1861194
Disease or Syndrome
Platelet-type bleeding disorder-17 is an autosomal dominant disorder characterized by increased bleeding tendency due to abnormal platelet function. It is a type of 'gray platelet syndrome' because the platelets appear abnormal on light microscopy. Electron microscopy shows decreased or absent alpha-granules within platelets, and bone marrow biopsy shows increased numbers of abnormal megakaryocytes, suggesting a defect in megakaryopoiesis and platelet production. The bleeding severity is variable (summary by Monteferrario et al., 2014).

Professional guidelines

PubMed

Ghadimi K, Levy JH, Welsby IJ
Br J Anaesth 2016 Dec;117(suppl 3):iii18-iii30. doi: 10.1093/bja/aew358. PMID: 27940453Free PMC Article
Meeks SL, Batsuli G
Hematology Am Soc Hematol Educ Program 2016 Dec 2;2016(1):657-662. doi: 10.1182/asheducation-2016.1.657. PMID: 27913543Free PMC Article
Escobar MA
Haemophilia 2013 Sep;19(5):648-59. Epub 2013 Apr 22 doi: 10.1111/hae.12137. PMID: 23600951

Recent clinical studies

Etiology

Sutton SS, Magagnoli J, Cummings TH, Dettling T, Lovelace B, Christoph MJ, Hardin JW
J Thromb Thrombolysis 2023 Jul;56(1):137-146. Epub 2023 May 23 doi: 10.1007/s11239-023-02820-y. PMID: 37219827Free PMC Article
Rajkumar B, Vishwanath Vinod K, Kar R, Ramasubramani P
J R Coll Physicians Edinb 2022 Sep;52(3):232-239. Epub 2022 Sep 15 doi: 10.1177/14782715221126770. PMID: 36300884
Moon JM, Chun BJ, Cho YS, Kim JC, Koo YJ, Park KH, Lee SD, Ahn JS, Kim DK, Ryu SJ
Clin Toxicol (Phila) 2021 Oct;59(10):905-912. Epub 2021 Mar 1 doi: 10.1080/15563650.2021.1884694. PMID: 33641566
Ghadimi K, Levy JH, Welsby IJ
Br J Anaesth 2016 Dec;117(suppl 3):iii18-iii30. doi: 10.1093/bja/aew358. PMID: 27940453Free PMC Article
Cohen AJ, Kessler CM
Baillieres Clin Haematol 1996 Jun;9(2):331-54. doi: 10.1016/s0950-3536(96)80067-9. PMID: 8800509

Diagnosis

Moon JM, Chun BJ, Cho YS, Kim JC, Koo YJ, Park KH, Lee SD, Ahn JS, Kim DK, Ryu SJ
Clin Toxicol (Phila) 2021 Oct;59(10):905-912. Epub 2021 Mar 1 doi: 10.1080/15563650.2021.1884694. PMID: 33641566
Berling I, Isbister GK
Transfus Med Rev 2015 Apr;29(2):82-9. Epub 2014 Dec 18 doi: 10.1016/j.tmrv.2014.09.005. PMID: 25556574
Lanza F
Orphanet J Rare Dis 2006 Nov 16;1:46. doi: 10.1186/1750-1172-1-46. PMID: 17109744Free PMC Article
Mammen EF
Clin Lab Sci 2000 Fall;13(4):239-45. PMID: 11586511
Cohen AJ, Kessler CM
Baillieres Clin Haematol 1996 Jun;9(2):331-54. doi: 10.1016/s0950-3536(96)80067-9. PMID: 8800509

Therapy

Sutton SS, Magagnoli J, Cummings TH, Dettling T, Lovelace B, Christoph MJ, Hardin JW
J Thromb Thrombolysis 2023 Jul;56(1):137-146. Epub 2023 May 23 doi: 10.1007/s11239-023-02820-y. PMID: 37219827Free PMC Article
Moon JM, Chun BJ, Cho YS, Kim JC, Koo YJ, Park KH, Lee SD, Ahn JS, Kim DK, Ryu SJ
Clin Toxicol (Phila) 2021 Oct;59(10):905-912. Epub 2021 Mar 1 doi: 10.1080/15563650.2021.1884694. PMID: 33641566
Ghadimi K, Levy JH, Welsby IJ
Br J Anaesth 2016 Dec;117(suppl 3):iii18-iii30. doi: 10.1093/bja/aew358. PMID: 27940453Free PMC Article
Berling I, Isbister GK
Transfus Med Rev 2015 Apr;29(2):82-9. Epub 2014 Dec 18 doi: 10.1016/j.tmrv.2014.09.005. PMID: 25556574
Cohen AJ, Kessler CM
Baillieres Clin Haematol 1996 Jun;9(2):331-54. doi: 10.1016/s0950-3536(96)80067-9. PMID: 8800509

Prognosis

Rajkumar B, Vishwanath Vinod K, Kar R, Ramasubramani P
J R Coll Physicians Edinb 2022 Sep;52(3):232-239. Epub 2022 Sep 15 doi: 10.1177/14782715221126770. PMID: 36300884
Moon JM, Chun BJ, Cho YS, Kim JC, Koo YJ, Park KH, Lee SD, Ahn JS, Kim DK, Ryu SJ
Clin Toxicol (Phila) 2021 Oct;59(10):905-912. Epub 2021 Mar 1 doi: 10.1080/15563650.2021.1884694. PMID: 33641566
Lanza F
Orphanet J Rare Dis 2006 Nov 16;1:46. doi: 10.1186/1750-1172-1-46. PMID: 17109744Free PMC Article
Mammen EF
Clin Lab Sci 2000 Fall;13(4):239-45. PMID: 11586511
Cohen AJ, Kessler CM
Baillieres Clin Haematol 1996 Jun;9(2):331-54. doi: 10.1016/s0950-3536(96)80067-9. PMID: 8800509

Clinical prediction guides

Huang X, Li F, Shi W, Liu W, Huang W, Yin D
Medicine (Baltimore) 2023 Jul 21;102(29):e34381. doi: 10.1097/MD.0000000000034381. PMID: 37478271Free PMC Article
Sutton SS, Magagnoli J, Cummings TH, Dettling T, Lovelace B, Christoph MJ, Hardin JW
J Thromb Thrombolysis 2023 Jul;56(1):137-146. Epub 2023 May 23 doi: 10.1007/s11239-023-02820-y. PMID: 37219827Free PMC Article
Rajkumar B, Vishwanath Vinod K, Kar R, Ramasubramani P
J R Coll Physicians Edinb 2022 Sep;52(3):232-239. Epub 2022 Sep 15 doi: 10.1177/14782715221126770. PMID: 36300884
Liu X, Zhang R, He G
Ann Hematol 2020 Jul;99(7):1421-1428. Epub 2020 Jun 3 doi: 10.1007/s00277-020-04103-5. PMID: 32495027Free PMC Article
Berling I, Isbister GK
Transfus Med Rev 2015 Apr;29(2):82-9. Epub 2014 Dec 18 doi: 10.1016/j.tmrv.2014.09.005. PMID: 25556574

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