Thrombophilia and Lupus Screen
Coagulation
Description
Thrombophilia testing aims to detect an increased tendency to venous thrombosis if patient selection and testing is in accordance with published guidelines. Lupus anticoagulant activity may be seen in patients with primary and secondary antiphospholipid syndrome. These antibodies, paradoxically,prolong clotting times in vitro (usually APTT but occasionally PT),but in vivo are associated with thrombosis.
Indications
Where a heritable thrombophilia screen is indicated according to appropriate guidelines. Please request lupus anticoagulant screening separately if indicated.
Sample Type
Plasma ( Citrate Blue ) x 5 and 1 serum sample.
Reference Range
Reference range is indicated on the report
Turnaround Time
Within 2 weeks
Testing Frequency
Weekly.
External Notes
Direct oral anticoagulants (such as Rivaroxaban and Dabigatran) can interfere with certain assays; PLEASE SPECIFY IF THE PATIENT IS ON ANTICOAGULANTS.
Liver disease, DIC, warfarin, vitamin K deficiency may also affect results.
Patient Preparation
No special requirements.
References
Baglin et al; British Committee for Standards in Haematology. Clinical guidelines for testing for heritable thrombophilia. Br J Haematol. 2010 Apr;149( 2 ):209-220.
Keeling D. Guidelines on the investigation and management of antiphospholipid syndrome. Br J Haem, 2012, 157, 47-58.
See Also
Anti-Cardiolipin Antibody
Lupus Anticoagulant Antibody Screen
Please note: the above information is subject to change and we endeavour to keep this website up to date wherever necessary.
Your contact for this test
Kieron Hickey
Thrombophilia Section Lead and Deputy Laboratory Manager - Coagulation
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Thrombophilia and Lupus Screen