Table 4.

Evidence of hypercoagulable pathology in patients with thalassemia syndromes.*

DiagnosisNo. ofPatientsThromboembolic Diagnosis%Comments
* This table summarized data from the Eldor and Rachmilewitz review article in Blood 2002.9 Data included are from multicenter studies, retrospective autopsy reviews and observational studies. Not all studies looked for evidence of all findings, nor did all report on the presence or absence of the spleen in patients. 
Abbreviations: TM, thalassemia; TI, thalassemia intermedia; E, hemoglobin E; TIA, transient ischemic attack; MRI, magnetic resonance imaging; DVT, deep venous thromboembolism; PE, pulmonary embolism; y, year; Pulm, pulmonary; HTN, hypertension 
β-TM 138 Stroke 0.02 Not regularly transfused 
  TIA 20 Not regularly transfused 
β-TM 735 Stroke 0.02 Not regularly transfused 
β-TI 41 Asymptomatic cerebral ischemia 37 By MRI, Incidence correlated positively w/age and
 negatively w/hgb 
β-TM 685 DVT or PE 3.95  
β-TI 52 DVT or PE 9.61  
β-TM 1146 DVT or PE 1.1  
β-TM 421 DVT or PE 3.3 Median age 28 y, 15% congenital or acquired risk factors 
β-TI 74 DVT or PE 16.2 Median age 28 y, 15% congenital or acquired risk factors 
β-TI 83 DVT, PE or portal vein thrombosis 29 11% of total with recurrent VTE, 99% splenectomized 
β-TM 33 Pulm HTN 85 Age range 2–24 y, suspected microthrombi 
β-TM+/-E 16 Pulm HTN 94 Age range 5–14 y, suspected microthrombi 
β-TM 35 Pulm HTN 75  
β-TM/E 43 Pulm arteriolar organized thrombi 19 Autopsy findings, 17 splenectomized 
β-TM Pulm arteriolar platelet microthrombi Autopsy findings 
DiagnosisNo. ofPatientsThromboembolic Diagnosis%Comments
* This table summarized data from the Eldor and Rachmilewitz review article in Blood 2002.9 Data included are from multicenter studies, retrospective autopsy reviews and observational studies. Not all studies looked for evidence of all findings, nor did all report on the presence or absence of the spleen in patients. 
Abbreviations: TM, thalassemia; TI, thalassemia intermedia; E, hemoglobin E; TIA, transient ischemic attack; MRI, magnetic resonance imaging; DVT, deep venous thromboembolism; PE, pulmonary embolism; y, year; Pulm, pulmonary; HTN, hypertension 
β-TM 138 Stroke 0.02 Not regularly transfused 
  TIA 20 Not regularly transfused 
β-TM 735 Stroke 0.02 Not regularly transfused 
β-TI 41 Asymptomatic cerebral ischemia 37 By MRI, Incidence correlated positively w/age and
 negatively w/hgb 
β-TM 685 DVT or PE 3.95  
β-TI 52 DVT or PE 9.61  
β-TM 1146 DVT or PE 1.1  
β-TM 421 DVT or PE 3.3 Median age 28 y, 15% congenital or acquired risk factors 
β-TI 74 DVT or PE 16.2 Median age 28 y, 15% congenital or acquired risk factors 
β-TI 83 DVT, PE or portal vein thrombosis 29 11% of total with recurrent VTE, 99% splenectomized 
β-TM 33 Pulm HTN 85 Age range 2–24 y, suspected microthrombi 
β-TM+/-E 16 Pulm HTN 94 Age range 5–14 y, suspected microthrombi 
β-TM 35 Pulm HTN 75  
β-TM/E 43 Pulm arteriolar organized thrombi 19 Autopsy findings, 17 splenectomized 
β-TM Pulm arteriolar platelet microthrombi Autopsy findings 
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