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F_9<br />

9065<br />

FACTV<br />

9054<br />

Adults: 75-145%<br />

Normal, full-term newborn infants or healthy premature infants may have decreased levels (> or =25%)<br />

which may remain below adult levels for > or =180 days postnatal.*<br />

*See Pediatric Hemostasis References in Coagulation Studies in Special Instructions.<br />

FACTOR II INHIBITOR SCREEN<br />

Negative<br />

Clinical References: 1. Feinstein DI: Acquired inhibitors of blood coagulation. In Hematology:<br />

Basic Principles and Practice. Edited by R Hoffman, EJ Benz Jr, SJ Shattil, et al. New York, Livingstone<br />

Press, 1991, pp 1380-1394 2. Kasper CK: Treatment of factor VIII inhibitors. Prog Hemost Thromb<br />

1989;9:57-86<br />

Coagulation Factor IX Activity Assay, Plasma<br />

Clinical Information: Factor IX is a vitamin K-dependent serine protease synthesized in the liver and<br />

participates in the intrinsic coagulation pathway. Its biological half-life is 18 to 24 hours. Congenital<br />

deficiency inherited as an X-linked recessive bleeding disorder (hemophilia B). Severe deficiency ( or =180 days postnatal.*<br />

*See Pediatric Hemostasis References in Coagulation Studies in Special Instructions.<br />

Clinical References: 1. Barrowcliffe TW, Raut S, Sands D, Hubbard AR: Coagulation and<br />

chromogenic assays of factor VIII activity: general aspects, standardization, and recommendations. Semin<br />

Thromb Hemost 2002 Jun;28(3):247-256 2. Franchini M, Lippi G, Favaloro EJ: Acquired inhibitors of<br />

coagulation factors: part II. Semin Thromb Hemost 2012 Jul;38(5):447-453 3. Carcao MD: The diagnosis<br />

and management of congenital hemophilia. Semin Thromb Hemost 2012 Oct;38(7):727-734<br />

Coagulation Factor V Activity Assay, Plasma<br />

Clinical Information: Factor V is a vitamin K-independent protein synthesized in the liver and in<br />

other tissues (endothelium, megakaryocytes/platelets). In its thrombin-activated form (factor Va), it serves<br />

as an essential cofactor in the prothrombinase enzyme complex which converts prothrombin to thrombin<br />

(the prothrombinase complex consists of the enzyme, activated factor X, factor Va cofactor, a<br />

phospholipid surface, and calcium). Deficiency of factor V may cause prolonged prothrombin time and<br />

activated partial thromboplastin time. Deficiency may result in a bleeding diathesis. Plasma biological<br />

half-life varies from 12 to 36 hours. Platelets contain 20% to 25% of the factor V in blood. Factor V (also<br />

known as labile factor) is highly susceptible to proteolytic inactivation, with the potential for spuriously<br />

decreased assay results.<br />

Useful For: Diagnosing congenital deficiencies (rare) of coagulation factor V Evaluating acquired<br />

deficiencies associated with liver disease, factor V inhibitors, myeloproliferative disorders, and<br />

intravascular coagulation and fibrinolysis Investigation of prolonged prothrombin time or activated partial<br />

thromboplastin time<br />

Interpretation: See Cautions Acquired deficiencies are much more common than congenital (see<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 486

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