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activated protein C resistance

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activated protein C resistance
APC resistance Hematology A condition caused by an inherited defect in the anticoagulant response to APC and clinically characterized by ↑ venous thrombosis; it is responsible for 20-50% of DVT Pathogenesis Protein C, a key regulator of coagulation, circulates in an inactivated form and is activated by the binding of thrombin to thrombomodulin receptors on vascular endothelial cells; once activated, protein C lyses coagulation factors Va and VIIIa; APCR may be due to a selective defect in factor V coagulant function


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The frequency of activated protein C resistance has been reported to occur at least tenfold more frequently than deficiencies of protein C, protein S and antithrombin III combined.
 
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