Cryofibrinogenesis D89.12

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Protein complex of fibrinogen, fibrin and fibronectin that precipitates in plasma after prolonged exposure to cold at 0-4 °C (12-48 hours) and can cause a wide variety of clinical manifestations.

Etiopathogenesis
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Infections, malignant, especially myeloproliferative processes, thromboembolic diseases, also idiopathic.
  • Etiological classification of cryofibrinogenemia (varies according to Peter and Gross):
    • Essential cryofibrinogenesis
    • Paraneoplastic (often causes vasculopathies in the venous area: thrombophlebitis saltans et migrans).
    • Parainfectious
    • thrombophilia in ovulation inhibitors, problem pregnancies, antiphospholipid antibodies, protein S and C deficiency
    • Arterial occlusive disease
    • Collagenoses
    • Cirrhosis of the liver
    • Medication (e.g. INH)
    • Metallic foreign bodies.

Clinical features
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Laboratory
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Detection of cryofibrinogen.

Therapy
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Treatment of the underlying disease. Otherwise symptomatic therapy according to the clinic.

Literature
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  1. Brüning H et al (1991) Cryofibrinogenemia - successful therapy by fibrinogen reduction. dermatologist 42: 227-232
  2. Nash JW et al (2003) The histopathologic spectrum of cryofibrinogenemia in four anatomic sites. Skin, lung, muscle, and kidney. At J Clin Pathol 119: 114-122
  3. Peter HH et al (1995): Secondary vasculitides. In: Peter HH, Pichler WJ (Ed.) Clinical Immunology, Urban Schwarzenberg, S. 425-426
  4. van Geest AJ et al (1999) Familial primary cryofibrinogenemia. J Eur Acad Dermatol Venereol 12: 47-50

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020