Araştırma Makalesi

Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis

Cilt: 32 Sayı: 2 29 Nisan 2022
PDF İndir
TR EN

Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis

Öz

Objective: Coagulation anomalies in patients with thyroid dysfunction may vary from subclinical disorders in laboratory tests to life threatening thrombotic events or bleeding. We aimed to determine the effect of thyroid dysfunction on thrombophilia in patients with acute and subacute deep vein thrombosis (DVT). Materials and Methods: A number of 30 patients with the diagnosis of DVT between November 2015 and June 2016 included in this case - control study. The patients divided into two groups as provoked (with known ethiology, n = 13) and unprovoked (with un-known ethiology, n = 17) patients. Provoked patients group divided as the patients with acquired risk factors (predisposition) and/or the patients with genetic risk factors. Results: The difference of the rate of the thyroid dysfunction between the provoked and unprovoked groups was not significant (p=0.844). The PAI – 1 gene mutation was detected in 70% of the study cohort and none of the patients had prothrombin gene mutation. The most provocative factors for DVT were male gender and undergoing a major surgery in the last three months. Conclusions: There was no correlation between acute – subacute DVT and thyroid dysfunction in this study. Therefore, we think that the ‘provocative factors’ may support the relation of thyroid dysfunction and venous thromboembolism (VTE). We think that more studies with larger cohorts and prospective should be conducted about this subject.

Anahtar Kelimeler

deep vein thrombosis, thyroid dysfunction, thrombophilia

Kaynakça

  1. References 1. Rosendaal FR. Venous thrombosis: a multicausal disease. Lancet. 1999; 353(9159):1167 1173.
  2. 2. White RH. The epidemiology of venous thromboembolism. Circulation. 2003;107 (23 suppl 1): I4–I8.
  3. 3. Squizzato A, Romualdi E, Piantanida E et al. Subclinical hypothyroidism and deep venous thrombosis. A pilot cross-sectional study. Thromb Haemost. 2007; 97(5): 803-806.
  4. 4. Danescu LG, Badshah A, Danescu SC et al. Venous thromboembolismin patients hospitalized with thyroid dysfunction. Clin Appl Thromb/ Hemost 2009; 5: 676–680.
  5. 5. Lazlo H, Katalin PS, Harald J. Pulmonary thromboembolism in infant: postmortem diagnosis. Rom J Legal Med 2008; 16: 283–288.
  6. 6. Dekkers OM, Horvath Puho E, Cannegieter SC et al. Acute cardiovascular events and all-cause mortality in patients with hyperthyroidism: a population based cohort study. European Journal of Endocrinology 2017 176 1–9.
  7. 7. Kootte RS, Stuijver DJ, Dekkers OM et al. The incidence of venous thromboembolism in patients with overt hyperthyroidism: a retrospective multicentre cohort study. Thromb Haemost 2012; 107: 417– 22. 8. Kim DD, Chunilal S, Young S, Cutfield R. A study of venous thrombosis incidence in patients with acute hyperthyroidism. Intern Med J 2013; 43: 361–5.
  8. 9. Ramagopalan SV, Wotton CJ, Handel AE, Yeates D, Goldacre MJ. Risk of venous thromboembolism in people admitted to hospital with selected immune-mediated diseases: record-linkage study. BMC Med 2011; 9: 1.
  9. 10. Franchini M. Hemostatic changes in thyroid diseases: haemostasis and thrombosis. Hematology. 2006; 11: 203–208.
  10. 11. Chadarevian R, Bruckert E, Leenhardt L et al. Components of the fibrinolytic system are differently altered inmoderate and severe hypothyroidism. J Clin Endocrinol Metab. 2001; 86(2): 732-737.

Kaynak Göster

APA
Coşkun Sungur, E., Altınay, L., Buyukates, M., & Aktunç, E. (2022). Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis. Genel Tıp Dergisi, 32(2), 177-181. https://doi.org/10.54005/geneltip.1036264
AMA
1.Coşkun Sungur E, Altınay L, Buyukates M, Aktunç E. Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis. Genel Tıp Derg. 2022;32(2):177-181. doi:10.54005/geneltip.1036264
Chicago
Coşkun Sungur, Elif, Levent Altınay, Mustafa Buyukates, ve Erol Aktunç. 2022. “Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis”. Genel Tıp Dergisi 32 (2): 177-81. https://doi.org/10.54005/geneltip.1036264.
EndNote
Coşkun Sungur E, Altınay L, Buyukates M, Aktunç E (01 Nisan 2022) Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis. Genel Tıp Dergisi 32 2 177–181.
IEEE
[1]E. Coşkun Sungur, L. Altınay, M. Buyukates, ve E. Aktunç, “Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis”, Genel Tıp Derg, c. 32, sy 2, ss. 177–181, Nis. 2022, doi: 10.54005/geneltip.1036264.
ISNAD
Coşkun Sungur, Elif - Altınay, Levent - Buyukates, Mustafa - Aktunç, Erol. “Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis”. Genel Tıp Dergisi 32/2 (01 Nisan 2022): 177-181. https://doi.org/10.54005/geneltip.1036264.
JAMA
1.Coşkun Sungur E, Altınay L, Buyukates M, Aktunç E. Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis. Genel Tıp Derg. 2022;32:177–181.
MLA
Coşkun Sungur, Elif, vd. “Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis”. Genel Tıp Dergisi, c. 32, sy 2, Nisan 2022, ss. 177-81, doi:10.54005/geneltip.1036264.
Vancouver
1.Elif Coşkun Sungur, Levent Altınay, Mustafa Buyukates, Erol Aktunç. Thyroid dysfunction coexistence in patients with acute and subacute deep vein thrombosis. Genel Tıp Derg. 01 Nisan 2022;32(2):177-81. doi:10.54005/geneltip.1036264