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Hyperhomocysteinemia: causes, symptoms, diagnosis, treatment

 
, medical expert
Last reviewed: 23.04.2024
 
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Hyperhomocysteinemia may contribute to the development of arterial or venous thromboembolism, which may be due to damage to the vascular wall endothelial cells. The level of plasma homocysteine increases more than 10 times in homozygotes with a deficiency of cystathionine synthase. Less pronounced activation is manifested with heterozygous deficiency and with other abnormalities of folic acid metabolism, including a deficiency of methyltetrahydrofolate reductase. However, the most common cause of hyperhomocysteemia is the acquired deficiency of folic acid, vitamin B 12 or vitamin B. The diagnosis is determined by measuring the plasma level of homocysteine. The level of homocysteine can be normalized by the correction of nutrition with the use of folic acid, vitamins B 12 or B (pyridoxine) in combination or monotherapy. However, it is not yet clear whether this therapy reduces the risk of arterial or venous thrombosis.

trusted-source[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12]

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