PMID- 16496494 OWN - NLM STAT- MEDLINE DCOM- 20060314 LR - 20191109 IS - 1556-3650 (Print) IS - 1556-3650 (Linking) VI - 44 IP - 1 DP - 2006 TI - The Leiden mutation and activated protein C resistance as risk factors for disseminated intravascular coagulation in acutely poisoned patients. PG - 53-7 AB - The aim of this work was to assess the prevalence of a genetic predisposition to disseminated intravascular coagulation (DIC) among acutely poisoned patients. Activated protein C resistence (APCR) is a genetically determined cause of thrombophilia and DIC development. One hundred seventy-six subjects were divided into three groups: one consisted of 83 acutely poisoned patients with DIC; a second consisted of 57 acutely poisoned patients without DIC; the third group consisted of 91 healthy controls. Abnormal results of APCR testing were found in 24.1% of the poisoned DIC group, 5.3% of the poisoned nonDIC group, and 3.3% of the control group. Genetic tests were performed in 37 selected patients. Factor V Leiden mutation (G/A genotype) was determined to be present in people whose R index value was below 1.9. These results raise the possibility that outcomes of acute poisonings may be influenced by genetic predisposition. FAU - Prazanowski, Miroslaw AU - Prazanowski M AD - Immunotoxicology Department Nofer Institute of Occupational Medicine in Lodz, Lodz, Poland. FAU - Kur, Barbara AU - Kur B FAU - Baranska, Malgorzata AU - Baranska M FAU - Lutz, Waldemar AU - Lutz W FAU - Pilacik, Bozena AU - Pilacik B FAU - Kolacinski, Zbigniew AU - Kolacinski Z LA - eng PT - Journal Article PL - England TA - Clin Toxicol (Phila) JT - Clinical toxicology (Philadelphia, Pa.) JID - 101241654 RN - 0 (Xenobiotics) RN - 0 (factor V Leiden) RN - 9001-24-5 (Factor V) SB - IM MH - Activated Protein C Resistance/blood/*genetics MH - Acute Disease MH - Adult MH - Blood Coagulation Tests MH - Disseminated Intravascular Coagulation/blood/*genetics MH - Factor V/*genetics MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Middle Aged MH - *Point Mutation MH - Poisoning/blood/genetics MH - Prevalence MH - Risk Factors MH - Xenobiotics/*poisoning EDAT- 2006/02/25 09:00 MHDA- 2006/03/15 09:00 CRDT- 2006/02/25 09:00 PHST- 2006/02/25 09:00 [pubmed] PHST- 2006/03/15 09:00 [medline] PHST- 2006/02/25 09:00 [entrez] AID - 10.1080/15563650500394845 [doi] PST - ppublish SO - Clin Toxicol (Phila). 2006;44(1):53-7. doi: 10.1080/15563650500394845.