Article
Missense mutations at ALA-10 in the factor IX propeptide: an insignificant variant in normal life but a decisive cause of bleeding during oral anticoagulant therapy.
British journal of haematology - 1 Jul 1997
Oldenburg J, Quenzel E M, Harbrecht U, Fregin A, Kress W, Müller C R, Hertfelder H J, Schwaab R, Brackmann H H, Hanfland P
Abstract excerpt
Bleeding complications are the most common and unwanted side-effect of oral anticoagulant therapy. We report three patients in whom mutations in the factor IX (FIX) propeptide were found to cause severe bleeding during coumarin therapy. Strikingly, the bleeding occurred within the therapeutic ranges of the prothrombin time (PT) and international normalized ratio (INR). In all three patients coumarin therapy...
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