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J Clin Pathol 53:167-170 doi:10.1136/jcp.53.3.167

Thrombophilia testing: what do we think the tests mean and what should we do with the results?

Table 1

Examples of genetic mutations associated with inherited thrombophilia

Established Probable Possible
Approximate prevalence in unselected patients with deep vein thrombosis is shown in brackets where this is known.
ACE, angiotensin converting enzyme; TFPI, tissue factor pathway inhibitor.
Antithrombin (1%) Mutations causing raised factor VIII (25%) Other mutations causing APC resistance
Protein C (3%) Mutations causing raised fibrinogen levels
Protein S (3%) Mutations causing reduced thrombomodulin activity
Factor V Leiden (20%) Mutations causing reduced TFPI activity
F2G20210A (6%) Deletion/insertion polymorphism of the ACE gene
Mutations causing high plasma homocysteine (unknown)
Mutations causing dysfibrinogenaemia (very rare)

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