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Gepubliceerd in: Tijdschrift voor Kindergeneeskunde 6/2007

01-12-2007 | Artikelen

De ziekte van Perthes: stollingsonderzoek is niet zinvol

Auteurs: D. W. Wolthuis, A. P. T. Robinson, J. W. Schimmel, T. W. de Vries

Gepubliceerd in: Tijdschrift voor Kindergeneeskunde | Uitgave 6/2007

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Samenvatting

De ziekte van Perthes is een avasculaire necrose van de femurkop. Ze komt voor bij kinderen tussen de 3 en 12 jaar oud, meer bij jongens en kinderen van Kaukasische afkomst. De oorzaak is waarschijnlijk een trombotische occlusie van de veneuze bloedstroom van de femurkop. Een verhoogde stollingsneiging zou de veneuze occlusie kunnen vergemakkelijken. Hoewel de literatuur omstreden is, blijken na bestudering van achttien artikelen proteïne C- en S-deficiënties en at-III-deficiëntie vaker voor te komen bij kinderen met Perthes dan in controlegroepen. Gezien de onmogelijkheid van gerichte therapie is onderzoek naar stollingsafwijkingen bij kinderen met de ziekte van Perthes niet zinvol.
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Metagegevens
Titel
De ziekte van Perthes: stollingsonderzoek is niet zinvol
Auteurs
D. W. Wolthuis
A. P. T. Robinson
J. W. Schimmel
T. W. de Vries
Publicatiedatum
01-12-2007
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Kindergeneeskunde / Uitgave 6/2007
Print ISSN: 0376-7442
Elektronisch ISSN: 1875-6840
DOI
https://doi.org/10.1007/BF03061702

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