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Are Inherited Combined Thrombophilia Mutations a Causative or an Additive Factor in Recurrent Venous Thrombotic Accidents? by Mihaela I. Maris, Florentina G. Cadariu, Mihaela F. Avram, Florina Parv, Alexandru F. Rogobete, Danina M. Muntean, Claudia Borza

Background: Inherited thrombophilia represents a prothrombotic disorder that predisposes to thrombosis.
Methods: We present a case of a 67-year-old female with a personal and family history of iterative thrombotic events. She was admitted in the Surgical Clinic at the age of 59, presenting the classical symptoms and signs for left lower limb deep vein thrombosis, confirmed by a venous Duplex Ultrasonography. This was the third episode of a venous thrombosis. Under anticoagulant treatment the evolution was good. The patient was advised to test for inherited thrombophilia mutations.
Results: Four years later, she experienced another episode of thrombosis. The patient tested positive for five of the most frequent mutations found in inherited thrombophilia.
Conclusions: Patients with recurrent venous thrombosis and positive family history for thrombotic events must be checked for thrombophilic conditions, inherited or acquired.

DOI: 10.7754/Clin.Lab.2019.181221