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F_11<br />

9067<br />

F11IS<br />

7803<br />

FACTOR X 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, NY,<br />

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

Thromb 1989;9:57-86<br />

Coagulation Factor XI Activity Assay, Plasma<br />

Clinical Information: Factor XI is synthesized in the liver. Its biological half-life is 60 to 80 hours.<br />

Factor XI is a component of intrinsic coagulation pathway which, when activated, activates factor IX to<br />

IXa. Factor XI deficiency may cause prolonged partial thromboplastin time. Deficiency associated with<br />

mild bleeding diathesis, but there is poor correlation between activity level and clinical bleeding. A<br />

relatively high incidence of congenital deficiency occurs among Ashkenazi Jewish descent (hemophilia<br />

C).<br />

Useful For: Diagnosing deficiency of coagulation factor XI Investigation of prolonged activated partial<br />

thromboplastin time<br />

Interpretation: Acquired deficiency is associated with liver disease and rarely inhibitors.<br />

Homozygotes: or =10%)<br />

which may not reach adult levels for > or =180 days postnatal.*<br />

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

Clinical References: 1. He R, Chen D, He S: Factor XI: hemostasis, thrombosis, and antithrombosis.<br />

Thromb Res 2012 May;129(5):541-550 2. Martin-Salces M, Jimenez-Yuste V, Alvarez MT, et al:<br />

Review: Factor XI deficiency: review and management in pregnant women. Clin Appl Thromb Hemost<br />

2010;16 (2):209-213 3. Seligsohn U. Factor XI in haemostasis and thrombosis: past, present and future.<br />

Thromb Haemost 2007;98(1):84-89 4. Santoro R, Prejano S, Iannaccaro P. Factor XI deficiency: a<br />

description of 34 cases and literature review. Blood Coagul Fibrinolysis 2011Jul;22(5):431-435<br />

Coagulation Factor XI Inhibitor Screen, Plasma<br />

Clinical Information: Factor XI inhibitors typically arise in patients with congenital XI deficiency<br />

(hemophilia C), after infusion of fresh frozen plasma or factor XI concentrates. Acquired factor XI<br />

inhibitors rarely occur spontaneously.<br />

Useful For: Detection and quantitation of inhibitor to coagulation factor XI<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 XI ACTIVITY ASSAY<br />

Adults: 55-150%<br />

Normal, full-term newborn infants or healthy premature infants may have decreased levels (> or =10%)<br />

which may not reach adult levels for > or =180 days postnatal.*<br />

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

FACTOR XI INHIBITOR SCREEN<br />

Negative<br />

Clinical References: 1. Feinstein DI: Acquired inhibitors of blood coagulation. In Hematology:<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 491

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