Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey

Yıl: 2012 Cilt: 29 Sayı: 1 Sayfa Aralığı: 48 - 54 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey

Öz:
Amaç: Türkiye’de son 10 yılda nadir koagülasyon eksikliği olan çocukların klinik bulguları, laboratuvar değerleri ve tedavilerini geriye yönelik olarak değerlendirdik. Gereç ve Yöntemler: Türk Pediatrik Hematoloji Derneği, Tromboz-Hemostaz-Hemofili Alt Komitesi tarafından standardize edilmiş excel sorgulama dosyaları her merkeze gönderilerek yanıt veren merkezlerin verileri toplandı. Bulgular: Oniki çocuk hematoloji merkezinden toplam 156 hasta bu çalışmaya alındı. Çalışmamızda en sık görülen nadir koagülasyon bozuklukları FVII (n: 53 olgu, %34), FV (n: 24 olgu, %15.4), FX (n: 23 olgu, %14.7) olarak dağılım gösterdi. Tüm nadir koagülasyon bozuklukları içinde en sık görülen başlangıç semptomları sırası ile burun kanaması, ekimoz ve diş eti kanamasıydı. Sonuç: Mukozal kanamalar ilk semptomları oluştururken, halen en sık kullanılan tedavi seçenekleri ise taze donmuş plazma ve treneksamik asitti. Ağır klinik semptomları olan ve şiddetli kanamaya neden olabilecek nadir koagülasyon bozukluklarının erken dönemlerinde de hemofili hastalarında kullandığımız proflaktik tedavinin düşünülmesi gerektiğini öneriyoruz.
Anahtar Kelime:

Konular: Hematoloji

Nadir koagülasyon bozuklukları: Türkiye’deki 156 olgunun retrospektif incelenmesi

Öz:
Objective: To retrospectively evaluate the clinical findings, laboratory data, management, and outcome in a group of Turkish children diagnosed with rare coagulation deficiencies (RCDs) between January 1999 and June 2009. Material and Methods: The Turkish Society of Pediatric Hematology-Hemophilia-Thrombosis-Hemostasis subcommittee designed a Microsoft Excel-based questionnaire for standardized data collection and sent it to participating institutions. Results: In total, 156 patients from 12 pediatric referral centers were included in the study. The cost common RCDs were as follows: FVII (n = 53 [34%]), FV (n = 24 [15.4%]), and FX (n = 23 [14.7%]) deficiency. The most common initial finding in the patients was epistaxis, followed by ecchymosis, and gingival bleeding. Conclusion: Initial symptoms were mucosal bleeding, and fresh frozen plasma (FFP) and tranexamic acid were the most commonly used treatments. We think that prophylactic treatment used for hemophilia patients should be considered as an initial therapeutic option for patients with rare factor deficiencies and a severe clinical course, and for those with a factor deficiency that can lead to severe bleeding.
Anahtar Kelime:

Konular: Hematoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA FISGIN T, BALKAN C, CELKAN T, KILINÇ Y, TÜRKER M, TİMUR Ç, gürsel t, KÜREKÇİ E, DURU F, KÜPESİZ O, Olcay L, YILMAZ Ş, OZGEN Ü, ÜNÜVAR A, ÖREN H, Kavakli K (2012). Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. , 48 - 54.
Chicago FISGIN TUNC,BALKAN Can,CELKAN TÜLIN TIRAJE,KILINÇ Yurdanur,TÜRKER Meral,TİMUR Çetin,gürsel türkiz,KÜREKÇİ Emin,DURU Feride,KÜPESİZ Osman Alphan,Olcay Lale,YILMAZ Şebnem,OZGEN ÜNSAL,ÜNÜVAR Ayşegül,ÖREN Hale,Kavakli Kaan Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. (2012): 48 - 54.
MLA FISGIN TUNC,BALKAN Can,CELKAN TÜLIN TIRAJE,KILINÇ Yurdanur,TÜRKER Meral,TİMUR Çetin,gürsel türkiz,KÜREKÇİ Emin,DURU Feride,KÜPESİZ Osman Alphan,Olcay Lale,YILMAZ Şebnem,OZGEN ÜNSAL,ÜNÜVAR Ayşegül,ÖREN Hale,Kavakli Kaan Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. , 2012, ss.48 - 54.
AMA FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. . 2012; 48 - 54.
Vancouver FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. . 2012; 48 - 54.
IEEE FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K "Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey." , ss.48 - 54, 2012.
ISNAD FISGIN, TUNC vd. "Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey". (2012), 48-54.
APA FISGIN T, BALKAN C, CELKAN T, KILINÇ Y, TÜRKER M, TİMUR Ç, gürsel t, KÜREKÇİ E, DURU F, KÜPESİZ O, Olcay L, YILMAZ Ş, OZGEN Ü, ÜNÜVAR A, ÖREN H, Kavakli K (2012). Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. Turkish Journal of Hematology, 29(1), 48 - 54.
Chicago FISGIN TUNC,BALKAN Can,CELKAN TÜLIN TIRAJE,KILINÇ Yurdanur,TÜRKER Meral,TİMUR Çetin,gürsel türkiz,KÜREKÇİ Emin,DURU Feride,KÜPESİZ Osman Alphan,Olcay Lale,YILMAZ Şebnem,OZGEN ÜNSAL,ÜNÜVAR Ayşegül,ÖREN Hale,Kavakli Kaan Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. Turkish Journal of Hematology 29, no.1 (2012): 48 - 54.
MLA FISGIN TUNC,BALKAN Can,CELKAN TÜLIN TIRAJE,KILINÇ Yurdanur,TÜRKER Meral,TİMUR Çetin,gürsel türkiz,KÜREKÇİ Emin,DURU Feride,KÜPESİZ Osman Alphan,Olcay Lale,YILMAZ Şebnem,OZGEN ÜNSAL,ÜNÜVAR Ayşegül,ÖREN Hale,Kavakli Kaan Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. Turkish Journal of Hematology, vol.29, no.1, 2012, ss.48 - 54.
AMA FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. Turkish Journal of Hematology. 2012; 29(1): 48 - 54.
Vancouver FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey. Turkish Journal of Hematology. 2012; 29(1): 48 - 54.
IEEE FISGIN T,BALKAN C,CELKAN T,KILINÇ Y,TÜRKER M,TİMUR Ç,gürsel t,KÜREKÇİ E,DURU F,KÜPESİZ O,Olcay L,YILMAZ Ş,OZGEN Ü,ÜNÜVAR A,ÖREN H,Kavakli K "Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey." Turkish Journal of Hematology, 29, ss.48 - 54, 2012.
ISNAD FISGIN, TUNC vd. "Rare coagulation disorders: A retrospective analysis of 156 patients in Turkey". Turkish Journal of Hematology 29/1 (2012), 48-54.