Hematology and serum liver enzymes in hemophilic A and Von Willebrand patients with hepatitis B or C compared with normal subjects.

摘要

Hemophilia A and Von Willebrand (VW) are genetic diseases caused by a lack or defect in factor VIII and/or coagulation factors. We determined hematology and serum liver enzymes in patients with hepatitis C or B in 35 males with hemophilia type A, and6 males and 9 females with Von Willebrand’s syndrome. Normal controls included 13 males and 12 females. In Von Willebrand patients we detected hepatitis in 60% and in hemophiliacs 45.71%. Compared with normal controls, in hemophiliacs we found significant (P < 0.0001 to 0.03) (LSD) lower mean hemoglobin (HB) of 9%, packed cell volume (PCV) 5%, corpuscular volume (MCV) 15%, corpuscular hemoglobin (MCH) 16% and corpuscular hemoglobin concentration (MCHC) 10% but a 9% increase in Platelets (PLT) but no significant effect on red blood cell count (RBC). However, in Von Willenbrand’s mean hematological values were HB -22%, PCV -18%, MCV -16% MCH -17% and MCHC -17% whereas PLT’s were 14% higher and RBC -14% lower, being greater differences compared with hemophiliacs, possibly due to the fact that hemophilia A occurs only in males. Serum alanine transaminase was lower (78%) only in patients with Von Willebrand but changes in aspartate transaminase (~55%) and alanine phosphatase (~126%) were similar in bothconditions.