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Hemostasis in schistosomiasis mansoni

D R Borges, M P Vilela, C C Guerra

    G.E.N
    |January 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Schistosomiasis mansoni patients with hepato-splenic form exhibit chronic consumptive coagulopathy. This condition improved with heparin or splenectomy, highlighting splenomegaly

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    Area of Science:

    • Medical Research
    • Parasitology
    • Hematology

    Background:

    • Schistosomiasis mansoni is a parasitic disease affecting the hepato-intestinal and hepato-splenic systems.
    • Altered hemostasis and coagulation are potential complications in schistosomiasis patients.
    • The role of hepatocytic function and splenomegaly in coagulation disorders requires further investigation.

    Purpose of the Study:

    • To investigate hemostasis alterations in patients with hepato-intestinal versus hepato-splenic Schistosomiasis mansoni.
    • To explore the relationship between coagulation factors, hepatocytic function, and the disease forms.
    • To assess the impact of hycanthone treatment and splenectomy on coagulation parameters.

    Main Methods:

    • Comparative study of hemostasis in 18 hepato-intestinal and 23 hepato-splenic Schistosomiasis mansoni patients.

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  • Analysis of plasmatic coagulation factors and hepatocytic function tests.
  • Repeated explorations in 6 patients post-hycanthone administration; assessment of heparin and splenectomy effects.
  • Main Results:

    • Patients with hepato-splenic Schistosomiasis mansoni presented with chronic consumptive coagulopathy.
    • Coagulopathy resolved following heparin treatment or splenectomy.
    • Hepatocytic function tests showed correlations with coagulation factor alterations.

    Conclusions:

    • Splenomegaly is a significant factor in the development of chronic consumptive coagulopathy in Schistosomiasis mansoni.
    • Heparin and splenectomy are effective in managing coagulopathy associated with the hepato-splenic form.
    • Splenectomy may be indicated for patients with portal hypertension due to Schistosomiasis mansoni and associated coagulopathy.