0
Article |

Protein C and Fibrinolysis

Catherine Newman, MD
[+] Author Affiliations

University of Texas Medical Branch 1405 Marine Dr Galveston, TX 77550


Arch Dermatol. 1991;127(6):909-909. doi:10.1001/archderm.1991.01680050155024
Text Size: A A A
Published online

To the Editor.—  The interesting association of protein C and protein S deficiency to lipodermatosclerosis and venous ulceration was reviewed in the September 1990 issue of the Archives.1 In discussing the function of protein C the authors appropriately state that protein C inactivates coagulation factors V and VIII in their activated form. In their conclusion, they comment that "An increased propensity for deep venous thrombosis, as could occur in the setting of protein C or protein S deficiency and perhaps in combination with a faulty fibrinolytic system, may lead to the development of venous occlusion and venous hypertension."Besides its function in preventing fibrin formation via inhibition of coagulation factors Va and VIIIa,2 activated protein C also serves a profibrinolytic function. Among the many proteins essential for normal fibrinolytic function are the plasminogen activator inhibitors, which prevent the formation of plasmin necessary for fibrinolysis.3 Plasminogen activator inhibitor

REFERENCES

Falanga V, Bontempo FA, Eaglestein WH.  Protein C and protein S plasma levels in patients with lipodermatosclerosis and venous ulceration . Arch Dermatol. 1990;;126:1195-1197.
Clouse LH, Comp PC.  The regulation of hemostasis: the protein C system . N Engl J Med. 1986;;314:1298-1304.
Sprengers ED, Kluft C.  Plasminogen activator inhibitors . Blood. 1987;;69:381-387.
Moake JL.  Hypercoagulable states . Adv Intern Med. 1990;;35:235-248.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Falanga V, Bontempo FA, Eaglestein WH.  Protein C and protein S plasma levels in patients with lipodermatosclerosis and venous ulceration . Arch Dermatol. 1990;;126:1195-1197.
Clouse LH, Comp PC.  The regulation of hemostasis: the protein C system . N Engl J Med. 1986;;314:1298-1304.
Sprengers ED, Kluft C.  Plasminogen activator inhibitors . Blood. 1987;;69:381-387.
Moake JL.  Hypercoagulable states . Adv Intern Med. 1990;;35:235-248.

Correspondence

CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.