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A Case of Pulmonary Thromboembolism in a Patient with hyperhomocysteinemia

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.62 no.3, pp.211-216











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Abstract

Hyperhomocysteinemia is an independent risk factor for cardiovascular, cerebrovascular and peripheral vascular diseases that are complicated by atherosclerosis and a thromboembolism. An increased level of plasma homocysteine develops from a genetic defect in the of enzyme for the homocysteine metabolism or a vitamin deficiency. Hyperhomocysteinemia has direct toxic effect on the vascular endothelium and causes damages to the antithrombotic action of vascular endothelial cells. Most cases of hyperhomocysteinemia are asymptomatic, but cardiopulmonary or cerebrovascular incidents developin rare cases. In the case of a thromboembolism with an unknown cause, hyperhomocysteinemia should be considered in a differential diagnosis. The authors report a case of pulmonary thromboembolism in a patient with hyperhomocysteinemia with a review of the relevant literature. (Tuberc Respir Dis 2007; 62: 211-216)

keywords
Hyperhomocysteinemia, Pulmonary embolism., Hyperhomocysteinemia, Pulmonary embolism.

Reference

1.

(1998) Use of two-dimensional echocardiography for the diagnosis of pulmonary embolus,

2.

et al. Echocardiographic findings in patients with proved pulmonary embolism. Am Heart J 1986,

3.

(2000) Acute pulmonary embolism,

4.

(1998) Homocysteine^ather othrombosis,

5.

(1997) Hyperhomocysteinemia; detection, risk assessment, and treatment,

6.

(1999) A case of multiple thromboembolism in hyperhomocysteinemia,

7.

McCully KS. Vascular pathology of homocysteinemia implication for the pathogenesis of arteriosclerosis. Am J Pathol 1969,

8.

Kloppenborg PW. Treatment of mild hyperhomocysteinemia in vascular disease patients. Arterioscler Thromb 1994,

9.

(2003) The interaction of methylenetetrahydrofolate reductase polymorphism with homocysteine in pregnant women ,

10.

(1998) Common methylenetetrahydrofolate reductase gene mutation leads to hyperhomocysteinemia but not to vascular disease: the result of a meta-analysis,

11.

(1998) Methylenetetrahydrofolate reductase and apolipoprotein E polymorphisms are independent risk factors for coronary heart disease in Japanese: a case-control study,

12.

(1999) Homocysteine, folate, and methylenetetrahydrofolate reductase polymorphism in Korean normal subjects,

13.

(1999) Homocysteine and cardiovascular disease: a critical review of the epidemiologic evidence,

14.

(2001) Plasma homocysteine concentration and genotype variation of enzyme as risk factors in patients with coronary artery disease,

15.

(2005) Acute arterial thrombosis in leg associated with hyperhomocysteinemia,

Tuberculosis & Respiratory Diseases