Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.

Fibrinolytic and other factors have been measured in 73 patients with systemic lupus erythematosus or related conditions to determine whether clinical thrombosis, a common feature of these disorders, is associated with defective fibrinolysis. Twenty five of 72 (35%) patients, compared with two of 22...

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Main Authors: Byron, M, Allington, M, Chapel, H, Mowat, A, Cederholm-Williams, SA
Format: Journal article
Language:English
Published: BMJ Publishing Group 1987
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author Byron, M
Allington, M
Chapel, H
Mowat, A
Cederholm-Williams, SA
author_facet Byron, M
Allington, M
Chapel, H
Mowat, A
Cederholm-Williams, SA
author_sort Byron, M
collection OXFORD
description Fibrinolytic and other factors have been measured in 73 patients with systemic lupus erythematosus or related conditions to determine whether clinical thrombosis, a common feature of these disorders, is associated with defective fibrinolysis. Twenty five of 72 (35%) patients, compared with two of 22 (9%) controls, showed a low level of plasminogen activator activity in response to venous occlusion, suggesting decreased fibrinolytic potential. In addition, mean plasma levels of von Willebrand factor antigen and fibronectin were markedly raised in the patients (mean (SD) 384.5 (277)% and 727 (436) mg/l respectively) compared with healthy controls (100 (50)% and 306 (65) mg/l). These data suggest a degree of endothelial cell dysfunction. No clear correlation was found between a history of thrombosis and any plasma factor measured, except for prolongation of clotting tests suggestive of the 'lupus anticoagulant'.
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spelling oxford-uuid:1cf31271-5ab6-4858-8356-c5bbd443f22d2022-03-26T11:08:16ZIndications of vascular endothelial cell dysfunction in systemic lupus erythematosus.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1cf31271-5ab6-4858-8356-c5bbd443f22dEnglishSymplectic Elements at OxfordBMJ Publishing Group1987Byron, MAllington, MChapel, HMowat, ACederholm-Williams, SAFibrinolytic and other factors have been measured in 73 patients with systemic lupus erythematosus or related conditions to determine whether clinical thrombosis, a common feature of these disorders, is associated with defective fibrinolysis. Twenty five of 72 (35%) patients, compared with two of 22 (9%) controls, showed a low level of plasminogen activator activity in response to venous occlusion, suggesting decreased fibrinolytic potential. In addition, mean plasma levels of von Willebrand factor antigen and fibronectin were markedly raised in the patients (mean (SD) 384.5 (277)% and 727 (436) mg/l respectively) compared with healthy controls (100 (50)% and 306 (65) mg/l). These data suggest a degree of endothelial cell dysfunction. No clear correlation was found between a history of thrombosis and any plasma factor measured, except for prolongation of clotting tests suggestive of the 'lupus anticoagulant'.
spellingShingle Byron, M
Allington, M
Chapel, H
Mowat, A
Cederholm-Williams, SA
Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title_full Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title_fullStr Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title_full_unstemmed Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title_short Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.
title_sort indications of vascular endothelial cell dysfunction in systemic lupus erythematosus
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AT chapelh indicationsofvascularendothelialcelldysfunctioninsystemiclupuserythematosus
AT mowata indicationsofvascularendothelialcelldysfunctioninsystemiclupuserythematosus
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