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Sorted By Test Name - Mayo Medical Laboratories

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F7IS<br />

7809<br />

F8A<br />

9070<br />

prolonged prothrombin time<br />

Interpretation: Liver disease, vitamin K deficiency, or warfarin anticoagulation can cause decreased<br />

factor VII activity. Heterozygotes generally have levels of < or =50%. Homozygotes have levels usually<br />

or =25%.<br />

Reference Values:<br />

Adults: 65-180%<br />

Normal, full-term newborn infants or healthy premature infants may have decreased levels (> or =20%)<br />

which increase within the first postnatal week but may not reach adult levels for > or =180 days<br />

postnatal.*<br />

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

Clinical References: 1. Girolami A, Scandellari R, Scapin M, Vettore S: Congenital bleeding<br />

disorders of the vitamin K-dependent clotting factors. Vitam Horm 2008;78:281-374 2. Brenner B,<br />

Kuperman AA, Watzka M, Oldenburg J: Vitamin K-dependent coagulation factors deficiency. Semin<br />

Thromb Hemost 2009 Jun;35(4):439-446 3. Mariani G, Bernardi F: Factor VII deficiency. Semin Thromb<br />

Hemost 2009 Jun;35(4):400-406<br />

Coagulation Factor VII Inhibitor Screen, Plasma<br />

Clinical Information: Coagulation factor inhibitors arise in patients who are congenitally deficient in<br />

a specific factor in response to factor replacement therapy, or can occur spontaneously without known<br />

cause or in response to a variety of medical conditions including the postpartum state, immunologic<br />

disorders, certain antibiotic therapies, some malignancies, and old age. Inhibitors of factor VIII coagulant<br />

activity are the most commonly occurring of the specific factor inhibitors.<br />

Useful For: Detection and quantitation of inhibitor to coagulation factor VII<br />

Interpretation: Normally, there is no inhibitor, ie, negative. If the screening assays indicate the<br />

presence of an inhibitor, it will be quantitated and reported in Bethesda (or equivalent) units.<br />

Reference Values:<br />

FACTOR VII ACTIVITY ASSAY<br />

Adults: 65-180%<br />

Normal, full-term newborn infants or healthy premature infants may have decreased levels (> or =20%)<br />

which increase within the first postnatal week but may not reach adult levels for > or =180 days<br />

postnatal.*<br />

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

FACTOR VII 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 VIII Activity Assay, Plasma<br />

Clinical Information: Factor VIII is synthesized in the liver, and perhaps in other tissues. It is a<br />

coagulation cofactor which circulates bound to von Willebrand factor and is part of the intrinsic<br />

coagulation pathway. The biological half-life is 9 to 18 hours (average is 12 hours). Congenital factor VIII<br />

decrease is the cause of hemophilia A which has an incidence of 1 in 10,000 and is inherited in a recessive<br />

sex-linked manner on the X chromosome. Severe deficiency (

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