Article
A case of thrombomodulin mutation causing defective thrombin binding with absence of protein C and TAFI activation.
Blood advances - 23 Jun 2020
Okada Masahiko, Tominaga Norio, Honda Goichi, Nishioka Junji, Akita Nobuyuki, Hayashi Tatsuya, Suzuki Koji, Moriuchi Hiroyuki
Abstract excerpt
Thrombomodulin functions as an anticoagulant through thrombin binding and protein C activation. We herein report the first case of hereditary functional thrombomodulin deficiency presenting with recurrent subcutaneous hemorrhage and old cerebral infarction. The patient had a homozygous substitution of glycine by aspartate at amino acid residue 412 (Gly412Asp) in the thrombin-binding domain of the thrombomodulin...
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