This condition is classified as either partial or severe based on the degree of deficiency of the factor xi protein. We describe our experience in pregnant women with fxi. Factor xi fxi deficiency has a more variable bleeding tendency than hemophilia a or b. Most experts suggest a level of approximately 30 to 45 percent. Factor xi deficiency is a disorder that can cause abnormal bleeding due to a shortage deficiency of the factor xi protein, which is involved in. It is transmitted by autosomal recessive inheritance. Women with bleeding disorders judy kauffman, rn, ms, cpnp. Factor xi deficiency is one of the rare inherited coagulation factor deficiencies. Pdf the management of factor xi deficiency is not straightforward for three reasons. Why factor xi deficiency is a clinical concern ncbi.
Factor xi deficiency is a disorder that can cause abnormal bleeding due to a shortage deficiency of the factor xi protein, which is involved in blood clotting. Women with factor xi deficiency may also experience heavy menstrual periods or heavy postpartum bleeding. The dose is repeated every 48 to 72 hours depending on measured factor xi levels. Individuals with severe deficiency have only a mild. Bleeding tendencies in factor xi deficiency are unpredictable and inconsistent, making the disorder difficult to manage in some cases. Individuals with severe deficiency have only a mild bleeding tendency, which is typically provoked by surgery, but the risk of bleeding is not restricted to individuals with severe. Factor xi fxi deficiency is an uncommon autosomal disorder with variable bleeding phenotype, making peripartum management challenging. Factor xi deficiency is associated with lower risk for cardiovascular.
Factor xi deficiency is caused by disruptions or changes mutations to the f11 gene and can occur in males and females. The rare coagulation disorders paula hb boltonmaggs introduction the rare coagulation disorders are inherited abnormalities of hemostasis that may present significant difficulties in diagnosis and management. This information booklet on factor xi deficiency was prepared by. Factor xi deficiency aninheritedbleedingdisorder 7 theclottingmechanism bloodiscarriedthroughoutthebodyinasystemofbloodvessels.
Analyses of missense mutations associated with fxi deficiency have provided. Boltonmaggs summary factor xi fxi deficiency has a more variable bleeding tendency than hemophilia a or b. A study of 20 jewish and four nonjewish kindreds transmitting factor xi deficiency 164 individuals confirmed inheritance to be autosomal with severe deficiency in homozygotes mean factor xi. Structure and function of factor xi blood american society of. Factor xi deficiency is a bleeding disorder that interferes with the bodys clotting process. Factor xi deficiency was first described in the medical literature in 1953. However, its incidence is high within the ashkenazi jewish.
Factor xi deficiency nord national organization for. Factor vii fvii deficiency is a rare hereditary hemorrhagic disease caused by the diminution or absence of this coagulation factor. Fxideficient patients consistently have prolonged aptts. However, regardless of the severity of the protein deficiency, most affected individuals have relatively mild. For reasons that are not well understood, bleeding symptoms do not seem to be directly related to the level of factor xi found in the blood. As a result, people affected by this condition may have difficulty stopping the flow of blood following dental extractions, trauma or surgery. Missense mutations in the factor xi apple domains pdf, 45.
1205 8 334 116 915 382 736 452 240 1531 1380 166 1032 521 860 224 291 1096 1179 1069 1438 239 395 890 1159 758 884 1481 9 933 800 792 310 462 448 539 1327 416 1363 661 1038 230 38