States Associated with Coagulation Factor Deficiencies
Factor | Synonym(s) | States Associated with Deficiency Congenital | States Associated with Deficiency Acquired |
---|---|---|---|
Extrinsic Pathway![]() | |||
II | Prothrombin | Hypoprothrombinemia | Vitamin K deficiency Liver disease |
V | Accelerator globulin (AcG), proaccelerin, labile factor | Parahemophilia | Liver disease Acute leukemia Surgery |
VII | Proconvertin, autoprothrombin I, serum prothrombin conversion accelerator (SPCA) | Factor VII deficiency | Liver disease Vitamin K deficiency Antibiotic therapy |
X | Stuart factor, Stuart-Prower factor, autoprothrombin III | Stuart factor deficiency | Liver disease Vitamin K deficiency Anticoagulants Normal pregnancy Disseminated intravascular coagulation (DIC) Hemorrhagic disease of the newborn |
Intrinsic Pathway![]() | |||
VIII* | Antihemophilic factor (AHF), antihemophilic globulin (AHG) | Hemophilia A (classic hemophilia) von Willebrand's disease | Disseminated intravascular coagulation (DIC) Fibrinolysis |
IX | Christmas factor, antihemophilic factor B, plasma thromboplastin component (PTC), autoprothrombin II | Hemophilia B (Christmas disease) | Liver disease Vitamin K deficiency Anticoagulants Nephrotic syndrome |
XI | Plasma thromboplastin antecedent (PTA) | Factor XI deficiency | Liver disease Vitamin K deficiency Anticoagulants Congenital heart disease |
XII | Hageman factor | Hageman trait | Normal pregnancy Nephrotic syndrome |
Common Pathway![]() | |||
XIII | Fibrin-stabilizing factor | Factor XIII deficiency | Liver disease Lead poisoning Multiple myeloma Agammaglobulinemia Elevated fibrinogen levels Postoperatively |
*Factor VIII is increased in normal pregnancy (as is factor X) and in states of inflammation and other physiologic stress.