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1 Hematology Section, Department of Medicine, University of Kansas Medical
Center, Kansas City.
Acute intestinal iron intoxication was produced in rabbits and the levels
of serum were correlated with changes in blood coagulation. Acute intestinal iron intoxication resulted in a prolongation of the coagulation time or a complete absence of coagulation, thrombocytopenia, hypoprothrombinemia, and qualitative changes in the fibrinogen. Clot retraction
was decreased to absent. The most marked defect occurred in fibrinogen. In the postiron period
the fibrin clot was rust-colored, friable, and fragmented easily. The iron
content of the fibrin was tremendous. The physiologic activity of the fibrinogen was decreased and coagulation prolonged. Fibrinolytic studies revealed no increase in the lysis of the fibrin. The decrease in the physiologic activity of the fibrinogen frequently produced a hemorrhagic level of prothrombin as measured by the one-stage
method. The prothrombin as measured by the two-stage method, although
decreased, was not in the hemorrhagic zone. Modification of the one-stage
method, correlated with the prothrombin values as determined by the two-stage technic, revealed a defect in both prothrombin and fibrinogen.
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