Factor XIII Deficiency
Classification according to ICD-10 | |
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D68.2 | Hereditary deficiency of other coagulation factors - deficiency of factor XIII (fibrin stabilizing factor) |
ICD-10 online (WHO version 2019) |
The Factor XIII deficiency is a very rare disorder of hemostasis due to an autosomal - recessive inherited defect on fibrin-stabilizing factor (Factor XIII). The affected person has less than one percent of the normal amount of the factor.
Symptoms
In homozygous newborns , massive umbilical cord bleeding often occurs (in up to 80 percent of births) . In homozygous adults there are wound healing disorders , increased cerebral haemorrhage and secondary bleeding. Also miscarriages are heaped. Oligospermia and shrinkage of the testicles have been described in male patients .
Heterozygous people are asymptomatic .
therapy
A factor XIII concentrate is given prophylactically for therapy . Such concentrates are obtained from blood plasma by plasma fractionation . For a number of years there have been preparations produced in vitro.
literature
- CS Kitchens, TF Newcomb: Factor XIII. In: Medicine (Baltimore). 1979 Nov; 58 (6), pp. 413-429. PMID 514066