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Factor V deficiency

MedGen UID:
1369551
Concept ID:
C4317320
Disease or Syndrome
Synonym: Reduced coagulation factor V activity
SNOMED CT: Factor V deficiency (4320005)
 
HPO: HP:0003225
Monarch Initiative: MONDO:0020586
OMIM®: 612309

Disease characteristics

Excerpted from the GeneReview: Factor V Leiden Thrombophilia
Factor V Leiden thrombophilia is characterized by venous thromboembolism (VTE) manifesting most commonly in adults as deep vein thrombosis (DVT) in the legs or pulmonary embolism. Thrombosis in unusual locations is less common. Factors that predispose to VTE in factor V Leiden thrombophilia include: the number of factor V Leiden variant alleles (homozygotes have a much greater thrombotic risk); family history of VTE; presence of coexisting genetic thrombophilic disorders; acquired thrombophilic disorders (e.g., antiphospholipid antibody syndrome, paroxysmal nocturnal hemoglobinuria, myeloproliferative disorders); and circumstantial risk factors (e.g., pregnancy, malignancy, central venous catheters, travel, combined oral contraceptive use and other combined contraceptives, oral hormone replacement therapy [HRT], obesity, leg injury, and advancing age). [from GeneReviews]
Full text of GeneReview (by section):
Summary  |  Diagnosis  |  Clinical Characteristics  |  Differential Diagnosis  |  Management  |  Genetic Counseling  |  Resources  |  Molecular Genetics  |  Chapter Notes  |  References
Authors:
Daniele Pastori  |  Danilo Menichelli  |  Emanuele Valeriani, et. al.   view full author information

Conditions with this feature

Congenital factor V deficiency
MedGen UID:
4633
Concept ID:
C0015499
Disease or Syndrome
Factor V deficiency is a rare autosomal recessive bleeding disorder with variable phenotypic expression (summary by van Wijk et al., 2001).
Factor V and factor VIII, combined deficiency of, with normal protein C and protein C inhibitor
MedGen UID:
346462
Concept ID:
C1856882
Disease or Syndrome
Factor 5 and Factor VIII, combined deficiency of, 2
MedGen UID:
462239
Concept ID:
C3150889
Disease or Syndrome
Combined deficiency of factor V and factor VIII type 2 (F5F8D2) is characterized by bleeding symptoms similar to those in hemophilia (306700) or parahemophilia (227400), caused by single deficiency of FV (612309) or FVIII (300841), respectively. The most common symptoms are epistaxis, menorrhagia, and excessive bleeding during or after trauma. Plasma FV and FVIII antigen and activity levels are in the range of 5 to 30%. Inheritance of F5F8D2 is autosomal recessive and distinct from the coinheritance of FV deficiency and FVIII deficiency (summary by Zhang and Ginsburg, 2004). For a general phenotypic description and a discussion of genetic heterogeneity of F5F8D, see 227300.
Factor V and factor VIII, combined deficiency of, type 1
MedGen UID:
1637212
Concept ID:
C4551981
Disease or Syndrome
Combined deficiency of factor V and factor VIII (F5F8D1) is characterized by bleeding symptoms similar to those in hemophilia (306700) or parahemophilia (227400), caused by single deficiency of factor V (612309) or factor VIII (300840), respectively. The most common symptoms are epistaxis, menorrhagia, and excessive bleeding during or after trauma. Plasma FV and FVIII antigen and activity levels are in the range of 5 to 30%. Inheritance of F5F8D is autosomal recessive and distinct from the coinheritance of FV deficiency and FVIII deficiency (summary by Zhang and Ginsburg, 2004). Genetic Heterogeneity of Combined Deficiency of Factor V and Factor VIII Another form of combined deficiency of factor V and factor VIII (F5F8D2; 613625) is caused by mutation in the MCFD2 gene (607788) on chromosome 2p21.
Congenital disorder of glycosylation, type IIw
MedGen UID:
1794196
Concept ID:
C5561986
Disease or Syndrome
Congenital disorder of glycosylation type IIw (CDG2W) is an autosomal dominant metabolic disorder characterized by liver dysfunction, coagulation deficiencies, and profound abnormalities in N-glycosylation of serum specific proteins. All reported patients carry the same mutation (602671.0017) (summary by Ng et al., 2021). For an overview of congenital disorders of glycosylation, see CDG1A (212065) and CDG2A (212066).

Professional guidelines

PubMed

De Pablo-Moreno JA, Miguel-Batuecas A, Rodríguez-Merchán EC, Liras A
Thromb Res 2023 Nov;231:99-111. Epub 2023 Oct 6 doi: 10.1016/j.thromres.2023.10.001. PMID: 37839151
Tanaka KA, VanDyck K, Shettar SS, Gomes M
J Cardiothorac Vasc Anesth 2022 Jun;36(6):1811-1812. Epub 2022 Jan 19 doi: 10.1053/j.jvca.2022.01.020. PMID: 35181237
Chapla A, Jayandharan GR, Sumitha E, Sankari Devi G, Shenbagapriya P, Nair SC, Viswabandya A, George B, Mathews V, Srivastava A
Thromb Haemost 2011 Jun;105(6):1120-3. Epub 2011 Apr 20 doi: 10.1160/TH10-11-0767. PMID: 21647534

Curated

UK NICE Guideline NG158, Venous thromboembolic diseases: diagnosis, management and thrombophilia testing, 2023

Suggested Reading

PubMed

Bhatt S, Taylor AK, Lozano R, Grody WW, Griffin JH; ACMG Professional Practice and Guidelines Committee
Genet Med 2021 Dec;23(12):2463. Epub 2021 Mar 5 doi: 10.1038/s41436-021-01108-x. PMID: 33674767

Recent clinical studies

Etiology

Yu V, Ebrahimi N, Cachalia T, Jacques A, Wyburn K, McCaughan GW, Dunkley S, Crawford MD, Pulitano C, Laurence JM
Exp Clin Transplant 2022 Nov;20(11):1043-1045. doi: 10.6002/ect.2022.0229. PMID: 36524891
Fogarty H, Doyle MM, Campbell R, Keenan C, White B, Ryan K, O'Donnell JS, Slevin J, O'Keeffe D, O'Connell NM, Lavin M
J Obstet Gynaecol 2019 Feb;39(2):271-272. Epub 2018 Apr 18 doi: 10.1080/01443615.2018.1448766. PMID: 29667457
Blavignac J, Bunimov N, Rivard GE, Hayward CP
Semin Thromb Hemost 2011 Sep;37(6):713-20. Epub 2011 Nov 18 doi: 10.1055/s-0031-1291382. PMID: 22102275
Lane DA, Mannucci PM, Bauer KA, Bertina RM, Bochkov NP, Boulyjenkov V, Chandy M, Dahlbäck B, Ginter EK, Miletich JP, Rosendaal FR, Seligsohn U
Thromb Haemost 1996 Nov;76(5):651-62. PMID: 8950768
Dahlbäck B
Thromb Haemost 1995 May;73(5):739-42. PMID: 7482395

Diagnosis

Yang J, Mao H, Sun L
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Soff GA
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Hayward CP, Rivard GE
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Seeler RA
Med Clin North Am 1972 Jan;56(1):119-25. doi: 10.1016/s0025-7125(16)32427-0. PMID: 4550185

Therapy

Yoshizaki C, Yoshida Y, Nohmi S, Go Y, Kusakado R, Kawamura S, Inoue D, Kabasawa N, Yamaguchi F
Lung Cancer 2024 Aug;194:107869. Epub 2024 Jul 1 doi: 10.1016/j.lungcan.2024.107869. PMID: 38970909
Yu V, Ebrahimi N, Cachalia T, Jacques A, Wyburn K, McCaughan GW, Dunkley S, Crawford MD, Pulitano C, Laurence JM
Exp Clin Transplant 2022 Nov;20(11):1043-1045. doi: 10.6002/ect.2022.0229. PMID: 36524891
Blavignac J, Bunimov N, Rivard GE, Hayward CP
Semin Thromb Hemost 2011 Sep;37(6):713-20. Epub 2011 Nov 18 doi: 10.1055/s-0031-1291382. PMID: 22102275
Straub PW
Semin Thromb Hemost 1977 Summer;4(1):29-39. doi: 10.1055/s-0028-1087126. PMID: 335513
PENNER JA
Am J Clin Pathol 1964 Dec;42:561-71. doi: 10.1093/ajcp/42.6.561. PMID: 14239431

Prognosis

Ichinose A, Osaki T, Souri M
Semin Thromb Hemost 2022 Mar;48(2):206-218. Epub 2021 Dec 23 doi: 10.1055/s-0041-1740149. PMID: 34942668
Lu L, Liu Y, Wei J, Zhang L, Zhang L, Yang R
Haemophilia 2004 Sep;10(5):661-4. doi: 10.1111/j.1365-2516.2004.01014.x. PMID: 15357793
Streiff MB, Ness PM
Transfusion 2002 Jan;42(1):18-26. doi: 10.1046/j.1537-2995.2002.00011.x. PMID: 11896308
Knöbl P, Lechner K
Baillieres Clin Haematol 1998 Jun;11(2):305-18. doi: 10.1016/s0950-3536(98)80050-4. PMID: 10097809
Lane DA, Mannucci PM, Bauer KA, Bertina RM, Bochkov NP, Boulyjenkov V, Chandy M, Dahlbäck B, Ginter EK, Miletich JP, Rosendaal FR, Seligsohn U
Thromb Haemost 1996 Nov;76(5):651-62. PMID: 8950768

Clinical prediction guides

Tabibian S, Shiravand Y, Shams M, Safa M, Gholami MS, Heydari F, Ahmadi A, Rashidpanah J, Dorgalaleh A
Semin Thromb Hemost 2019 Jul;45(5):523-543. Epub 2019 May 23 doi: 10.1055/s-0039-1687906. PMID: 31121608
Spreafico M, Peyvandi F
Semin Thromb Hemost 2009 Jun;35(4):390-9. Epub 2009 Jul 13 doi: 10.1055/s-0029-1225761. PMID: 19598067
Lu L, Liu Y, Wei J, Zhang L, Zhang L, Yang R
Haemophilia 2004 Sep;10(5):661-4. doi: 10.1111/j.1365-2516.2004.01014.x. PMID: 15357793
Goodnough LT, Saito H, Ratnoff OD
Medicine (Baltimore) 1983 Jul;62(4):248-55. doi: 10.1097/00005792-198307000-00004. PMID: 6348471
VRIES AD, RISS E
Harefuah 1951 Nov 1;41(9):159-63. PMID: 14888058

Recent systematic reviews

Spiliopoulos D, Kadir RA
Blood Coagul Fibrinolysis 2016 Apr;27(3):237-41. doi: 10.1097/MBC.0000000000000407. PMID: 26376169
Kulkarni BP, Nair SB, Vijapurkar M, Mota L, Shanbhag S, Ali S, Shetty SD, Ghosh K
PLoS One 2014;9(9):e108683. Epub 2014 Oct 2 doi: 10.1371/journal.pone.0108683. PMID: 25275492Free PMC Article
Streiff MB, Ness PM
Transfusion 2002 Jan;42(1):18-26. doi: 10.1046/j.1537-2995.2002.00011.x. PMID: 11896308

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    Curated

    • NICE, 2023
      UK NICE Guideline NG158, Venous thromboembolic diseases: diagnosis, management and thrombophilia testing, 2023

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