The Leiden mutation and activated protein C resistance as risk factors for disseminated intravascular coagulation in acutely poisoned patients

Clin Toxicol (Phila). 2006;44(1):53-7. doi: 10.1080/15563650500394845.

Abstract

The aim of this work was to assess the prevalence of a genetic predisposition to disseminated intravascular coagulation (DIC) among acutely poisoned patients. Activated protein C resistence (APCR) is a genetically determined cause of thrombophilia and DIC development. One hundred seventy-six subjects were divided into three groups: one consisted of 83 acutely poisoned patients with DIC; a second consisted of 57 acutely poisoned patients without DIC; the third group consisted of 91 healthy controls. Abnormal results of APCR testing were found in 24.1% of the poisoned DIC group, 5.3% of the poisoned nonDIC group, and 3.3% of the control group. Genetic tests were performed in 37 selected patients. Factor V Leiden mutation (G/A genotype) was determined to be present in people whose R index value was below 1.9. These results raise the possibility that outcomes of acute poisonings may be influenced by genetic predisposition.

MeSH terms

  • Activated Protein C Resistance / blood
  • Activated Protein C Resistance / genetics*
  • Acute Disease
  • Adult
  • Blood Coagulation Tests
  • Disseminated Intravascular Coagulation / blood
  • Disseminated Intravascular Coagulation / genetics*
  • Factor V / genetics*
  • Genetic Predisposition to Disease*
  • Genotype
  • Humans
  • Middle Aged
  • Point Mutation*
  • Poisoning / blood
  • Poisoning / genetics
  • Prevalence
  • Risk Factors
  • Xenobiotics / poisoning*

Substances

  • Xenobiotics
  • factor V Leiden
  • Factor V