Research Article

The Significance of Serum CA-125 Elevation in Chinese Patients with Primary Budd-Chiari Syndrome: A Multicenter Study

Table 2

Risk factors present in 243 patients with Budd-Chiari syndrome (patients could have more than one factor registered).

Risk factors%

Thrombophilia
 Myeloproliferative disorder*9/1675.1
 Polycythaemia vera rubra4/1672.3
 Essential thrombocythemia3/1671.7
 JAK2 mutation9/1675.1
 Factor V Leiden mutation0/1670.0
  Prothrombin G20210A mutation0/1670.0
  Paroxysmal nocturnal hemoglobinuria1/1670.6
 Protein C deficiency#1/1200.8
 Protein S deficiency#0/1200.0
 Antithrombin deficiency#0/1200.0
 Antiphospholipid antibodies43/24317.7
 Hyperhomocysteinemia##51/24321.0
Systemic
 Systemic lupus erythematosus2/2430.8
 Ulcerative colitis1/2430.4
 Phlebitis3/2431.2
 Ankylosing spondylitis1/2430.4
Hormonal factors (women only)
 Oral contraceptive use1/961.0
 Pregnancy within 3 months before diagnosis3/963.1
MO###141/24358.0
 MOVCa16/2436.6
 MOHVb27/24311.1
 MOVC and hepatic vein involved98/24340.3
Idiopathic47/24319.3

9 cases of JAK2 mutation, including four cases of polycythemia vera and three cases of essential thrombocythemia.
#Deficiency was diagnosed as nonacquired only if 1 protein was deficient, the result occurred in the absence of anticoagulants or oral contraceptive use, and the patient did not have liver dysfunction (bilirubin level 2 times the upper limit of normal).
##When the blood homocysteine concentrations were higher than 15 umol/L.
###MO = membranous obstruction.
aMOVC = membranous obstruction of the inferior vena cava.
bMOVH = membranous obstruction of the hepatic venous.