Resistance to active protein C (APC) is the most common risk factor in
venous thrombosis. A missense mutation in the factor V gene (factor V
Leiden) is the molecular basis for this phenotype. Factor V Leiden wa
s previously found in about 20% of unselected patients with thrombosis
but also occurred in 3-5% of healthy Dutch controls. In the present s
tudy of Brazilian patients with venous thrombosis we also observed a f
requency of 20% for this factor. In addition, in healthy Brazilian con
trols the frequency of the mutation was 2%. These data suggest that fa
ctor V Leiden has a similar distribution worldwide irrespective of the
ethnic origin of the population. (C) 1995 Wiley-Liss, Inc.