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Laboratory Tests and Interpretation of Results

See Table E86 for interpretation of coagulation protein screening tests.

TABLE E86 Clinical Peculiarities of Coagulation Protein Screening Tests

Long aPTT, Normal or Long PT, No BleedingNormal aPTT, PT, with Bleeding
Long aPTT only
Factor XII deficiencyFactor XIII deficiency or inhibitor
Prekallikrein deficiencyα2-Antiplasmin deficiency or defect
High-molecular-weight kininogenPlasminogen activator inhibitor deficiency or defect
Lupus anticoagulantα1-Antitrypsin Pittsburgh defect
Long aPTT and PT
Dysfibrinogenemia with fibrinopeptide B release
Lupus anticoagulant

aPTT, Activated partial thromboplastin time; PT, prothrombin time.

From Hoffman R et al: Hematology: basic principles and practice, ed 5, Philadelphia, 2009, Churchill Livingstone.

Normal Range:

25 to 41 sec

Elevated in:

Heparin therapy, coagulation factor deficiency (I, II, V, VIII, IX, X, XI, XII), liver disease, vitamin K deficiency, disseminated intravascular coagulation, circulating anticoagulant, warfarin therapy, specific factor inhibition (penicillin [PCN] reaction, rheumatoid arthritis), thrombolytic therapy, nephrotic syndrome

NOTE: Useful to evaluate the intrinsic coagulation system.