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Hypercoagulable Disorders


Problems with clot breakdown (fibrinolysis)

Inherited:

  • Congenital plasminogen deficiency -- rare factor deficiency; plasminogen is activated to form plasmin. Plasmin helps break apart the clot's crosslinked fibrin net. Most of these patients have eye problems, not thrombotic complications.
  • Dysfibrinogenemia -- abnormal fibrinogen; it leads to fibrin that does not break down normally. Most patients with dysfibrinogenemia have laboratory results within normal limits, but some have bleeding symptoms, and a small number have been reported to have thrombotic complications.

Acquired:

  • Plasminogen deficiency -- plasminogen is the precursor to plasmin, which helps to break down clots; may also be an acquired deficiency (see above)
  • Decreased plasminogen activator

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