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Blood coagulation in glomerulonephritis.

N Belovezhdov, R Robeva, V Genova

    International Urology and Nephrology
    |January 1, 1986
    PubMed
    Summary
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    Glomerulonephritis patients exhibit significant coagulation disorders, including lower platelet counts and impaired aggregation. These findings suggest potential disseminated intravascular coagulation or thrombopathy in affected individuals.

    Area of Science:

    • Nephrology
    • Hematology
    • Pathophysiology

    Background:

    • Glomerulonephritis is a complex kidney disease.
    • Coagulation system alterations are implicated in various pathologies.

    Purpose of the Study:

    • To investigate coagulation parameters in patients with glomerulonephritis.
    • To identify specific hemostatic abnormalities associated with the disease.

    Main Methods:

    • Studied 71 patients diagnosed with glomerulonephritis.
    • Assessed various coagulation parameters including platelet count, adhesion index, aggregation, partial thromboplastin time, and reptilase time.
    • Detected plasma fibrin monomer soluble complexes and fibrin degradation products.

    Main Results:

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    • Patients showed lower platelet counts, reduced adhesion index, and decreased aggregation compared to normal subjects.
    • Abnormalities observed include decreased partial thromboplastin time (46.4%) and increased reptilase time (47.8%).
    • Positive plasma fibrin monomer soluble complexes (52.1%) and fibrin degradation products (14%) were detected.

    Conclusions:

    • Glomerulonephritis is associated with significant hemostatic dysfunctions.
    • Findings suggest the presence of subacute or chronic disseminated intravascular coagulation (DIC) or thrombopathy in glomerulonephritis patients.