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. 1975 Jun;181(6):791–794. doi: 10.1097/00000658-197506000-00004

Inherited antithrombin-III deficiency causing mesenteric venous infarction: a new clinical entity.

J C Gruenberg, R C Smallridge, R D Rosenberg
PMCID: PMC1343895  PMID: 1138628

Abstract

Primary superior mesenteric venous thrombosis is sometimes preceded by peripheral thrombophlebitis. Inherited antithrombin-III deficiency is a recently recognized autosomal dominant trait, which is characterized by thrombophlebitis and pulmonary embolism. This case report illustrates many features of both entities and strongly suggest a causal relationship. While long-term therapy has yet to be established, prophylactic therapy is recommended when asymptomatic individuals with known antithrombin-III deficiency are at increased risk of thrombosis. The efficacy of heparin alone has been unreliable, whereas Coumadin has been encouraging. Antithrombin-III concentrates are being developed and theoretically should be helpful. Patients with thrombophlebitis or pulmonary embolism should be suspected of having antithrombin-III deficiency. Such individuals also represent one mechanism to explain "primary" mesenteric venous thrombosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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