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http://ir.ncue.edu.tw/ir/handle/987654321/12047
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Title: | Acquired ADAMTS-13 Deficiency in Pediatric Patients with Severe Sepsis |
Authors: | Nguyen, Trung C.;Liu, Anne;Liu, Li;Ball, Chalmette;Choi, Hiuwan;May, William S.;Aboulfatova, Khatira;Bergeron, Angela L.;Dong, Jing-fei |
Contributors: | 化學系 |
Keywords: | Sepsis;ADAMTS-13;ULWF;Thrombotic microangiopathy |
Date: | 2007
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Issue Date: | 2012-07-03T03:29:46Z
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Publisher: | Ferrata Storti Foundation |
Abstract: | We studied the state of ultralarge von Willebrand factor (ULVWF) proteolysis in 21 pediatric patients with severe sepsis and found that the overall group of patients had moderately reduced ADAMTS-13 activity, but 31% had severe enzymatic deficiency. The severe deficiency correlated with greater adhesion activity of von Willebrand factor, severity of thrombocytopenia and plasma levels of interleukin-6. It also correlated clinically with severity of illness and organ dysfunction. These results suggest that ULVWF proteolysis is insufficient in septic patients and severely deficient in a subgroup of patients. The deficiency may contribute to the development of thrombocytopenia and ischemic organ failure associated with sepsis. |
Relation: | Haematologica, 92(1): 121-124 |
Appears in Collections: | [化學系] 期刊論文
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