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Heterozygous prothrombin 20210G/A mutation, associated with hyperhomocysteinemia, and homozygous methylenetetrahydrofolate reductase 677C/T mutation, in a patient with portal and mesenteric venous thrombosis.

Authors
  • Elhajj, Ihab I
  • Salem, Ziad M K
  • Birjawi, Ghina A
  • Taher, Ali T
  • Soweid, Assaad M
Type
Published Article
Journal
The hematology journal : the official journal of the European Haematology Association / EHA
Publication Date
Jan 01, 2004
Volume
5
Issue
6
Pages
540–542
Identifiers
PMID: 15570301
Source
Medline
License
Unknown

Abstract

We herein report a 34-year-old man who was investigated for severe abdominal pain. Portal vein thrombosis (PVT) and mesenteric vein thrombosis (MVT) were diagnosed. An association with two predisposing factors for thrombosis was noted: (1) heterozygous factor II 20210G/A mutation and (2) homozygous methylenetetrahydrofolate reductase (MTHFR) 677C/T mutation with hyperhomocysteinemia. Our case is of particular interest because the patient reported herein, is homozygote for the MTHFR 677C/T mutation, while the only two other cases reported in the literature with similar gene mutations, were heterozygotes for the mutation.

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