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. 2021 Nov 16;9(1):11–20. doi: 10.1002/ehf2.13701

Table 4.

Main studies investigating coagulation abnormalities in patients with AL‐amyloidosis since 2000

Reference Study design Number of patients/sex ratio (male/female) Median age (years) Coagulation abnormalities a and relationships with clinical features
Mumford AD et al., 2000 41 Retrospective single‐centre cohort study 337/0.54 61.2

‐TT prolongation (32% of patients) associated with hepatic amyloid deposits (P < 10−4), 24‐h proteinuria (P < 10−3), and hypoalbuminaemia (P < 10−5)

‐PT prolongation (24% of patients) associated with abnormal bleeding (P 0.0012)

‐aPTT prolongation (14% of patients)

‐FX:C deficiency (<70 IU/dL): 22/154 (14%), of whom 7 (5%) < 20 IU/dL

‐FX:Ag/FX:C 2.5 in patients with FX deficiency vs FX:Ag/FX:C 0.96 in patients without (P < 10−4)

‐Mild FVII:C deficiency in 2 patients (44 and 23 IU/dL)

‐Absence of FX inhibitor

Gamba G et al., 2000 42 Prospective 36/2.0 NA

‐TT prolongation (85% of patients)

‐PT prolongation (22% of patients)

‐aPTT prolongation (65% of patients)

‐ FX:C deficiency (< 65 IU/dL)(27% of patients)

Choufani EB et al., 2001 43 Prospective clinical trial 368/1.5 b 58.0 b

‐FX:C deficiency (< 50 IU/dL): 32/368 (8.7% a ) of whom 12 < 25 IU/dL (9 with bleeding complications)

‐Frequency and severity worse in the patients with the lowest levels of FX

Patel G et al., 2019 44 Retrospective single‐centre cohort study 104/0.54 63.4 ‐FX:C deficiency (<50 IU/dL): 10/104 (9.6% a ) of whom 2 < 25 IU/dL
a

Patients receiving vitamin K antagonist were excluded.

b

Sex ratio and median age of patients with FX deficiency; TT: thrombin time.

aPTT: activated partial prothrombin time; Ag, antigen; F, factor; FX:C, FX clotting activity; NA, non‐available; PT, prothrombin time.