![]() | Only 14 pages are availabe for public view |
Abstract Aim of the work 1- Evaluation of the state of coagulation system activity as indicated by rate of thrombin generation in children with nephritic syndrome. 2- Determination of TFPI plasma level changes in childhood nephritic syndrome. 3- Study the probability of correlations between rate of thrombin generation; TFPI plasma level and plasma lipoprotein levels. Conclusion 1- Nephrotic patients have a higher rate of thrombin generation than control as determined by the increased level of F1+2. There is shortened PT and APTT. The high level of F1+2 is not correlated with serum total cholesterol, HDL- cholesterol, LDL- cholesterol, triglycerides, serum albumin or quantitative urinary protein. 2- TFPI level is increased and is positively correlated with serum total cholesterol, LDL-cholesterol, triglycerides in nephritic children. The increased TFPI plasma level may be a defensive mechanism against the increased coagulation system activity. 3- Thrombocytosis may be a contributing factor in the hypercoagulable state present in nephritic children. 4- Nephrotic children have a higher level of serum total cholesterol, LDL-cholesterol and triglycerides and low level of HDL-cholesterol; that may also add another risk in increasing the incidence of thromboembolic complications. |