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Orientation diagnostique devant une anomalie du TP ou du TCA.

Auteurs : Clauser S1, Calmette L2
Affiliations : 1Service d'hématologie-immunologie-transfusion, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne-Billancourt cedex, France; UFR des sciences de la santé Simone-Veil, université de Versailles Saint-Quentin-en-Yvelines, 2, avenue de la Source-de-la-Bièvre, 78180 Montigny-le-Bretonneux, France.2Service d'hématologie-immunologie-transfusion, hôpital Ambroise-Paré, AP-HP, 9, avenue Charles-de-Gaulle, 92104 Boulogne-Billancourt cedex, France.
Date 2024 Septembre, Vol 45, Num 9, pp 549-558Revue : La Revue de médecine interneType de publication : résumé en anglais; article de périodique; revue de la littérature; DOI : 10.1016/j.revmed.2024.05.002
Résumé

The standard hemostasis workup [quick time (QT), and activated partial thrombin time (APTT)] is very commonly prescribed but its interpretation is often difficult for practitioners who are not specialized in hemostasis. Here, we review the principles of the diagnostic approach to these tests. Only a very basic knowledge of the coagulation cascade is necessary to identify which clotting factor tests to prescribe and to interpret the results. Deficiency in several clotting factors suggests liver dysfunction, disseminated intravascular coagulation (DIC) or vitamin K deficiency. If a single factor is deficient, we review the different causes of acquired deficiencies and briefly discuss the characteristics of the different congenital defects, which generally require specialized management. Lupus anticoagulant is a common and generally benign cause of prolonged APTT to be aware of, which is not related to a hemorrhagic risk. A good knowledge of the diagnostic approach to abnormal QT or APTT generally allows the resolution of the most common situations.

Mot-clés auteurs
aptt; hemostasis; hémostase; interpretation; interprétation; orientation; quick time; tca; tp; tests;
 Source : MEDLINE©/Pubmed© U.S National Library of Medicine
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Clauser S, Calmette L. Orientation diagnostique devant une anomalie du TP ou du TCA. Rev Med Interne. 2024 Sep;45(9):549-558.
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Dernière date de mise à jour : 27/03/2025.


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