TABLE 3

Differential diagnoses associated with coagulation assay results

Prolonged prothrombin time (PT), normal activated partial thromboplastin time (aPTT)
Factor VII deficiency or factor VII inhibitor
Liver disease
Vitamin K deficiency
Warfarin use
Disseminated intravascular coagulation
Normal PT, prolonged aPTT
Deficiency of intrinsic pathway factors (VIII, IX, XI, XII) or inhibitors of these clotting factors
von Willebrand disease (if factor VIII is very low) Heparin use
Lupus anticoagulant (usually associated with thrombosis instead of bleeding)
Prolonged PT and aPTT
Deficiency of common pathway factors (II, V, X, or fibrinogen)
Severe liver disease
Vitamin K deficiency
Warfarin use
Disseminated intravascular coagulation
Heparin overdose
Normal PT and aPTT with bleeding
Platelet dysfunction (acquired or congenital)
von Willebrand disease (if factor VIII is mildly decreased)
Scurvy
Ehlers-Danlos syndrome
Hereditary hemorrhagic telangiectasia
Factor XIII deficiency
Hyperfibrinolysis