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[Factor V-specific circulating anticoagulant and enteropathy. 2 cases].

B Taillan1, J G Fuzibet, H Vinti

  • 1Service de Médecine interne I, Hôpital de Cimiez, Nice.

Presse Medicale (Paris, France : 1983)
|February 10, 1990
PubMed
Summary
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Two patients developed a Factor V inhibitor, an autoimmune condition, linked to flare-ups of coeliac and Crohn's diseases. The inhibitor appeared and disappeared with disease activity, suggesting an autoimmune cause.

Area of Science:

  • Gastroenterology
  • Immunology
  • Hematology

Background:

  • Factor V inhibitors are rare autoimmune clotting disorders.
  • Coeliac disease and Crohn's disease are chronic inflammatory gastrointestinal conditions.
  • The association between autoimmune disorders and acquired coagulation factor inhibitors is not fully understood.

Observation:

  • Two patients with coeliac disease and Crohn's disease, respectively, developed Factor V-specific circulating anticoagulants.
  • The inhibitor's presence correlated with disease flare-ups and its absence with remission.
  • This pattern recurred in one patient after a year, strengthening the observed association.

Findings:

  • The autoimmune inhibitor of Factor V appeared and resolved in tandem with inflammatory bowel disease activity.

Related Experiment Videos

  • No bleeding complications were reported in either patient.
  • The absence of typical Factor V inhibitor causes suggests an autoimmune etiology.
  • Implications:

    • This case series suggests a potential link between inflammatory bowel diseases and the development of autoimmune Factor V inhibitors.
    • Further research is warranted to explore the immunopathogenesis of Factor V inhibitors in the context of gastrointestinal autoimmunity.
    • Understanding this association may inform diagnostic and therapeutic strategies for patients with coeliac or Crohn's disease and unexplained coagulopathy.