The influence of corticosteroids on hemostasis in healthy subjects

Journal of Thrombosis and Haemostasis : JTH
Christof J MajoorPieter W Kamphuisen

Abstract

Corticosteroids have been associated with an increased risk of venous thromboembolism in patients treated for inflammatory diseases. It is unclear whether the thrombotic risk is induced by the inflammation of the underlying inflammatory diseases or whether corticosteroids are prothrombotic as well. Considering the widespread use of corticosteroids in clinical practise, it is critical to know whether corticosteroids enhance coagulation. To investigate whether a 10-day prednisolone burst therapy activates hemostasis in healthy individuals. Healthy subjects received either 0.5 mg kg(-1) day(-1) of oral prednisolone or placebo. Venous blood was collected at baseline, day 1 and day 10 and tested for thrombin-antithrombin complexes (TATc), D-dimer, plasmin-alpha2-antiplasmin complexes (PAPc), plasminogen-activator inhibitor type-1 (PAI-1), von Willebrand factor (VWF) and thrombin generation (peak thrombin, velocity index and endogenous thrombin potential [ETP]). Fifteen subjects received prednisolone and 16 placebo (median age 29 vs. 22 years, female subjects 33% vs. 56%, respectively). Peak thrombin and velocity index were higher in the placebo group at baseline. After 10 days of treatment, peak thrombin, velocity index, PAI-1 and V...Continue Reading

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Citations

Aug 11, 2020·Physiological Reports·Amanda P WallerUNKNOWN Pediatric Nephrology Research Consortium (PNRC)
Oct 25, 2016·Journal of Thrombosis and Haemostasis : JTH·J BartkoB Jilma
Oct 28, 2020·International Journal of Molecular Sciences·Leonardo SandriniSilvia Stella Barbieri
Mar 23, 2021·British Journal of Haematology·Fernanda A OrsiSuzanne C Cannegieter
Apr 25, 2021·Seminars in Thrombosis and Hemostasis·Chiara SimionPaolo Simioni
Aug 28, 2021·British Journal of Haematology·Alexandros RampotasSue Pavord

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