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Abnormal prothrombin time

MedGen UID:
663294
Concept ID:
C0580412
Finding
Synonyms: Abnormal PT; Prothrombin time abnormal
SNOMED CT: Prothrombin time abnormal (165568006)
 
HPO: HP:0032199

Definition

Any deviation from the normal amount of time to coagulation in the prothrombin time test, which is a measure of the extrinsic pathway of coagulation. The results of the prothrombin time test are often expressed in terms of the International normalized ratio (INR), which is calculated as a ratio of the patient's prothrombin time (PT) to a control PT standardized for the potency of the thromboplastin reagent developed by the World Health Organization (WHO) using the formula [from HPO]

Conditions with this feature

Bone fragility with contractures, arterial rupture, and deafness
MedGen UID:
382811
Concept ID:
C2676285
Disease or Syndrome
Connective tissue disorder due to lysyl hydroxylase-3 deficiency is a rare, genetic disease, caused by lack of lysyl hydrohylase 3 (LH3) activity, characterized by multiple tissue and organ involvement, including skeletal abnormalities (club foot, progressive scoliosis, osteopenia, pathologic fractures), ocular involvement (flat retinae, myopia, cataracts) and hair, nail and skin anomalies (coarse, abnormally distributed hair, skin blistering, reduced palmar creases, hypoplastic nails). Patients also present intrauterine growth retardation, facial dysmorphism (flat facial profile, low-set ears, shallow orbits, short and upturned nose, downturned corners of mouth) and joint flexion contractures. Growth and developmental delay, bilateral sensorineural deafness, friable diaphragm and later-onset spontaneous vascular ruptures are additional reported features.

Professional guidelines

PubMed

Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238

Recent clinical studies

Etiology

Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Tavakoli HR, DeMaio M, Wingert NC, Rieg TS, Cohn JA, Balmer RP, Dillard MA
Psychosomatics 2012 Nov-Dec;53(6):559-65. doi: 10.1016/j.psym.2012.05.001. PMID: 23157994
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Wicklund BM
Hematology Am Soc Hematol Educ Program 2011;2011:170-7. doi: 10.1182/asheducation-2011.1.170. PMID: 22160030
Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238

Diagnosis

Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, Josephson CD
J Pediatr 2012 Feb;160(2):204-209.e3. Epub 2011 Sep 16 doi: 10.1016/j.jpeds.2011.08.019. PMID: 21925679
Kamal AH, Tefferi A, Pruthi RK
Mayo Clin Proc 2007 Jul;82(7):864-73. doi: 10.4065/82.7.864. PMID: 17605969
Prieto JA, Mastrobattista JM, Blanco JD
Am J Perinatol 1995 May;12(3):220-2. doi: 10.1055/s-2007-994457. PMID: 7612100

Therapy

Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Tufano A, Ageno W, Di Micco P, Niglio A, Rosa V, Ballaz A, Braester A, Rubio CM, Isern V, Imbalzano E, Monreal M; RIETE Investigators
Thromb Res 2018 Apr;164:69-74. Epub 2018 Mar 2 doi: 10.1016/j.thromres.2018.02.143. PMID: 29499439
Tavakoli HR, DeMaio M, Wingert NC, Rieg TS, Cohn JA, Balmer RP, Dillard MA
Psychosomatics 2012 Nov-Dec;53(6):559-65. doi: 10.1016/j.psym.2012.05.001. PMID: 23157994
Krysiak R, Okopien B
Thromb Haemost 2012 Nov;108(5):973-80. Epub 2012 Aug 23 doi: 10.1160/TH12-04-0275. PMID: 22918596
Monreal M, Suárez C, Fajardo JA, Barba R, Uresandi F, Valle R, Rondón P; RIETE investigators
Pathophysiol Haemost Thromb 2003 Sep-2004 Dec;33(5-6):330-4. doi: 10.1159/000083823. PMID: 15692238

Prognosis

Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Tufano A, Ageno W, Di Micco P, Niglio A, Rosa V, Ballaz A, Braester A, Rubio CM, Isern V, Imbalzano E, Monreal M; RIETE Investigators
Thromb Res 2018 Apr;164:69-74. Epub 2018 Mar 2 doi: 10.1016/j.thromres.2018.02.143. PMID: 29499439
Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, Josephson CD
J Pediatr 2012 Feb;160(2):204-209.e3. Epub 2011 Sep 16 doi: 10.1016/j.jpeds.2011.08.019. PMID: 21925679
Orrego H, Israel Y, Blake JE, Medline A
Hepatology 1983 Nov-Dec;3(6):896-905. doi: 10.1002/hep.1840030602. PMID: 6629318

Clinical prediction guides

Catella J, Bertoletti L, Moustafa F, Nieto JA, Valle R, Pedrajas JM, Villalobos A, Quere I, Sarlon-Bartoli G, Monreal M; RIETE Investigators
Thromb Res 2022 Jun;214:29-36. Epub 2022 Apr 13 doi: 10.1016/j.thromres.2022.04.005. PMID: 35452869
Murphy CH, Spain DA, Shan H
J Trauma Acute Care Surg 2020 May;88(5):648-653. doi: 10.1097/TA.0000000000002609. PMID: 32044872
Ryan KM, O'Brien K, Regan I, O'Byrne JM, Moore D, Kelly PM, Noel J, Butler J, Nolan B, Kiely PJ
Spine J 2015 Jun 1;15(6):1217-22. Epub 2013 Oct 10 doi: 10.1016/j.spinee.2013.07.460. PMID: 24120825
Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, Josephson CD
J Pediatr 2012 Feb;160(2):204-209.e3. Epub 2011 Sep 16 doi: 10.1016/j.jpeds.2011.08.019. PMID: 21925679
Akmal M, Massry SG
Am J Nephrol 1990;10(1):49-52. doi: 10.1159/000168053. PMID: 2343880

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