Abstract
Inherited antithrombin deficiency generally causes a predisposition toward vascular thrombus above the age of 15 years. A 1-year-old boy developed renal hypertension caused by renal artery obstruction due to thrombus formation. This thrombus formation was attributed to antithrombin deficiency caused by a novel SERPINC1 gene mutation (AT III Akita, M352R). This suggests that antithrombin deficiency can cause renal artery obstruction, inducing renal hypertension through vascular thrombosis even in children.
References
Stanley JC, Fry WJ (1981) Pediatric renal artery occlusive disease and renovascular hypertension: etiology, diagnosis, and operative treatment. Arch Surg 116:669–676
Tollefsen DM (2001) Antithrombin deficiency. In: Scriver CR, Beaudet AL, Valle D, Sly WS (eds) The metabolic and molecular bases of inherited disease. McGraw Hill, New York, pp 4455–4471
Demers C, Ginsberg JS, Hirsh J, HendersonP, Blajchman MA (1992) Thrombosis in antithrombin-III-deficient persons. Report of a large kindred and literature review. Ann Intern Med 116:754–761
Shapiro ME, Rodvien R, Bauer KA, Salzman EW (1981) Acute aortic thrombosis in antithrombin III deficiency. JAMA 245:1759–1761
Winter JH, Bennet B, Douglas AS (1982) Aortic thrombosis in antithrombin III deficiency. JAMA 247:1127–1128
Candrina R, Goppini A, Salvi A, Zuccato F, Giustina G (1986) Arterial thrombosis in antithrombin III deficiency. Clin Lab Haematol 8:267–268
Picard V, Dautzenberg M-D, Viloutreix BO, Orliaguet G, Alhenc-Gelas M, Aiach M (2003) Antithrombin Phe229Leu: a new homozygous variant leading to spontaneous antithrombin polymerization in vivo associated with severe childhood thrombosis. Blood 102:919–925
Mitchell L, Piovella F, Ofosu F, Andrew M (1991) α-2-Macroglobulin may provide protection from thromboembolic events in antithrombin III-deficient children. Blood 78:2299–2304
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Miura, K., Takahashi, T., Takahashi, I. et al. Renovascular hypertension due to antithrombin deficiency in childhood. Pediatr Nephrol 19, 1294–1296 (2004). https://doi.org/10.1007/s00467-004-1592-z
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DOI: https://doi.org/10.1007/s00467-004-1592-z