Sdh. Malnick et al., ACUTE FEMORAL-ARTERY THROMBOSIS ASSOCIATED WITH FUNCTIONAL PROTEIN-C DEFICIENCY AS THE PRESENTING MANIFESTATION OF ACUTE MONOCYTIC LEUKEMIA, Southern medical journal (Birmingham, Ala.), 91(7), 1998, pp. 663-664
Acute leukemia may be linked to disturbances of the coagulation system
, which are usually due to hyperviscosity because of disseminated intr
avascular coagulation or a high white cell count. We report a unique c
ase of femoral artery thrombosis as the beginning symptom of acute mon
ocytic leukemia (M5) associated with a low level of functional protein
C. The patient had multiple recurrent episodes of thrombosis with low
levels of functional protein C associated with the relapse of the leu
kemia. A review of the literature shows that this is an extremely rare
phenomenon.