Neoplasm-induced bleeding in inherited, heterozygous FXIII-A deficiency
Biswas, A.; Westhofen, P.; Thomas, A.; Marquardt, N.; Horneff, S.; Klein, C.; Rühl, H.; Pötzsch, B.; Oldenburg, J.; Ivaškevičius, V.; Goldmann, G. · Zeitschrift für Orthopädie und Unfallchirurgie · 2015 · Heft S 01 · S. S32-S35
Bibliografische Angaben
Zusammenfassung
SummaryInherited mild factor XIII deficiency belongs to one of the most underdiagnosed bleeding disorders so far. This is, because most patients do not develop bleeding complications in daily life.A man (age: 64 years) without a history of bleeding presented with painful swelling of neck, weight loss, anemia and episodic bleeding from the right tonsil necessitating tonsillectomy. Histologic and immunohistochemical evaluation revealed cytokeratinpositive epitheloid angiosarcoma. Blood coagulation status showed significantly elevated D-dimer and decreased FXIII levels (FXIII-activity 35%, FXIIIA-Ag 16–26%). Plasma…