Vasculitis & polymyalgia rheumatica

Increased factor XI but not factor XII is associated with enhanced inflammation and impaired fibrin clot properties in patients with eosinophilic granulomatosis with polyangiitis

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

To our knowledge, this study is the first to show association between FXI and a prothrombotic state in EGPA.

Study context

Population
Consecutive eosinophilic granulomatosis with polyangiitis (EGPA) patients in remission
Participants
34 patients
Exposure
Increased FXI vs FXI ≤130%
  • FXI>130%n = 8
Outcome
Increased FXI level (>130%) and associated inflammatory and fibrin clot features
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

FXI>130%

23.5%

8

Eosinophil count, FXI>130% vs FXI ≤130%
+365%
Percentage of neutrophils, FXI>130% vs FXI ≤130%
−20.4%
Clot permeability (Ks), FXI>130% vs FXI ≤130%
−20.5%
Fibrin fiber thickness, FXI>130% vs FXI ≤130%
−17.5%

Observational data: associations, not effects.

Further findings

Associations of FXI and FXII

No correlations between FXI and FXII levels or between FXII and eosinophil count
all p>0.05
FXI not associated with CRP, fibrinogen or ANCA titers

Original publication

Increased factor XI but not factor XII is associated with enhanced inflammation and impaired fibrin clot properties in patients with eosinophilic granulomatosis with polyangiitis. Clin Exp Rheumatol. Published 21 July 2023. doi:10.55563/clinexprheumatol/kzi1u4

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