Factor XI deficiency acquired by liver transplantation

K. Clarkson, B. Rosenfeld, Jeffrey Fair, A. Klein, W. Bell

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Factor XI deficiency (the Rosenthal syndrome), an autosomal recessive genetic defect, was transmitted to a patient after orthotopic liver transplantation. The deficiency was manifested by an isolated prolonged activated partial thromboplastin time (aPTT) after surgery. Hematologic evaluation using specific factor analysis revealed an absolute deficiency of factor XI. Stored serum obtained from the organ recipient before transplantation showed normal factor XI levels. When the liver donor's family was questioned, it was discovered that he was of Ashkenazi Jewish descent and that he had a history of bleeding after dental procedures. Before his death from intracerebral bleeding, he was documented to have an isolated prolonged aPTT value. This case shows that potentially morbid genetic defects can be transmitted by organ transplantation. It also provides evidence confirming that the liver is the only site of factor XI production.

Original languageEnglish (US)
Pages (from-to)877-879
Number of pages3
JournalAnnals of Internal Medicine
Volume115
Issue number11
StatePublished - 1991
Externally publishedYes

Fingerprint

Factor XI Deficiency
Factor XI
Liver Transplantation
Partial Thromboplastin Time
Hemorrhage
Liver
Organ Transplantation
Statistical Factor Analysis
Tooth
Transplantation
Tissue Donors
Serum

Keywords

  • Blood coagulation disorders
  • Factor XI deficiency
  • Hereditary diseases
  • Liver transplantation
  • Partial thromboplastin time

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Clarkson, K., Rosenfeld, B., Fair, J., Klein, A., & Bell, W. (1991). Factor XI deficiency acquired by liver transplantation. Annals of Internal Medicine, 115(11), 877-879.

Factor XI deficiency acquired by liver transplantation. / Clarkson, K.; Rosenfeld, B.; Fair, Jeffrey; Klein, A.; Bell, W.

In: Annals of Internal Medicine, Vol. 115, No. 11, 1991, p. 877-879.

Research output: Contribution to journalArticle

Clarkson, K, Rosenfeld, B, Fair, J, Klein, A & Bell, W 1991, 'Factor XI deficiency acquired by liver transplantation', Annals of Internal Medicine, vol. 115, no. 11, pp. 877-879.
Clarkson K, Rosenfeld B, Fair J, Klein A, Bell W. Factor XI deficiency acquired by liver transplantation. Annals of Internal Medicine. 1991;115(11):877-879.
Clarkson, K. ; Rosenfeld, B. ; Fair, Jeffrey ; Klein, A. ; Bell, W. / Factor XI deficiency acquired by liver transplantation. In: Annals of Internal Medicine. 1991 ; Vol. 115, No. 11. pp. 877-879.
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