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Factor V Leiden Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Factor V Leiden is a genetic disease that is the most common hereditary cause of venous thrombosis. It leads to resistance to activated protein C.
  • System(s) affected: Cardiovascular; Gastrointestinal; Hemic/Lymphatic/Immunologic; Nervous; Pulmonary; Reproductive
  • Synonym(s): Factor V Leiden thrombophilia; factor V Leiden mutation
ALERT: Pediatric Considerations
  • Increased thrombosis risk in patients with factor V Leiden
ALERT: Pregnancy Considerations
  • Heterozygous patients are not at increased risk for thromboembolism or fetal loss.
Epidemiology
  • Predominant age: Thrombosis typically occurs after the 2nd decade.
  • Predominant sex: Male = Female
Prevalence
  • ~3–12% of Caucasions are affected:
    • The mutation is rare in other ethnic groups.
  • ~15–20% of patients who present with thrombosis have factor V Leiden.
Risk Factors
  • Risk for ...

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See Also
Images >
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FIGURE 24-15 Common sites of venous thrombosis. (A) Superficial thrombophlebitis. (B) Most common form of deep thrombophlebitis. (C and D) Deep thrombophlebitis from the calf to iliac veins.Credit: Haller J.A. Jr. [1967]. Deep thrombophlebitis: Pathophysiology and treatment. Philadelphia: W.B. Saunders