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간문맥혈전증을 동반한 특발성 문맥고혈압 환자에서 Protein C, Protein S 결핍 1예

Deficiencies in proteins C and S in a patient with idiopathic portal hypertension accompanied by portal vein thrombosis

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초록

간문맥의 혈전 소견을 동반한 특발성 문맥압항진증 환자에서 자가면역질환, 종양 등 다른 원인이 없이 protein C, protein S의 결핍을 보인 사례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Abstract

Portal vein thrombosis (PVT) is an uncommon cause of presinusoidal portal hypertension. Among various hepatoportal disorders, noncirrhotic portal hypertension conditions such as idiopathic portal hypertension (IPH) are considered to have a close relation with PVT. PVT is known to have several predisposing conditions, including infection, malignancies, and coagulation disorders. There is growing interest and recognition that deficiencies in proteins C and S are associated with a hypercoagulable state. These deficiencies are regarded as key factors of systemic hypercoagulability and recurrent venous thromboembolism. We report the case of a 19-year-old male diagnosed as IPH with PVT and combined deficiencies in proteins C and S.

참고문헌 (19)

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