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Laboratory features

Authoring team

  • increased prothrombin time (PT)
  • increased partial thromboplastin time (PTT) - but not early in the disease, and less markedly abnormal than PT
  • fibrinogen levels - usually normal; may be reduced in cirrhosis or chronic hepatitis
  • thrombin time - usually normal; prolonged in cirrhosis and chronic hepatitis due to fibrin degradation products (FDP) and/or hypofibrinogenaema or dsyfibrinogenaemia
  • platelet count - often normal; reduced in hypersplenism, disseminated intravascular coagulation, marrow dysfunction secondary to alcoholic excess or folic acid deficiency
  • euglobulin lysis time - reduced if clearance of tPA is decreased as in cirrhosis and chronic hepatitis

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