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Factor XI Functional

Factor XI Functional

Factor XI deficiency, is also called hemophilia C, plasma thromboplastin antecedent deficiency, and Rosenthal syndrome. The factor XI functional test assesses the activity of factor XI, a clotting protein involved in the blood coagulation cascade. It measures the ability of factor XI to participate in the formation of blood clots, crucial for proper hemostasis (blood clotting). This test is particularly useful in evaluating bleeding disorders, such as hemophilia C, where deficiencies in factor XI can lead to prolonged bleeding. By analyzing the clotting ability of factor XI, healthcare providers can diagnose and monitor hemophilia C, guiding treatment decisions to prevent excessive bleeding episodes and manage patient care effectively.

Symptoms of factor XI deficiency

Nosebleeds

Nosebleeds

Easy bruising

Easy bruising

Bleeding under the skin

Bleeding under the skin

Blood in your urine or stool

Blood in your urine or stool

Bleeding of the gums

Bleeding of the gums

Prolonged bleeding following surgery

Prolonged bleeding following surgery

Heavy or prolonged menstrual bleeding

Heavy or prolonged menstrual bleeding

Excessive bleeding after childbirth

Excessive bleeding after childbirth

Repeated miscarriages

Repeated miscarriages

Liver problems

Liver problems

Who should get tested?

Factor XI functional test is most often used if you have

A tendency of abnormal bleeding

A tendency of abnormal bleeding

A family history of factor XI functional deficiency

A family history of factor XI functional deficiency

To undergo a surgical procedure

To undergo a surgical procedure

Liver abnormalities

Liver abnormalities

Preparation for the test

No special preparation is required to undergo factor XI functional test. However, your healthcare provider may advise you to stop certain medications temporarily prior to the test.

 

Interpretation of test results

The units of measurement for the results are often given as a percentage.

 Range (Factor XI)

 Interpretation

  65% to 130%

 Normal range

  20% to 60%

 Mild factor XI deficiency (symptoms may appear)

 < 20%

 Severe factor XI deficiency

 

Note: Test results may vary based on your age, gender, medical history, and testing laboratory.

Deviation from normal levels indicate the following:

Decreased factor XI activity may indicate the following conditions:

·         Factor XI deficiency (a bleeding disorder that occurs due to lack of blood clotting factor XI)

·         Disseminated intravascular coagulation (characterized by excessive activity of blood clotting proteins)

·         Liver disease

·         Vitamin K deficiency

FAQs

How is the sample collected for the factor XI functional test?

During this blood test, a healthcare professional will take a small amount of blood from a vein in your arm using a small needle, which is collected in a test tube or vial. This procedure takes no longer than five minutes.

What are the risks involved in the factor XI functional test?

This test involves negligible risk. During a blood test, one may experience minor pain or bruising where the needle was inserted, but most symptoms will subside quickly.

What is the turnaround time (TAT) for the factor XI functional test results?

The factor XI functional test result is usually available within the same working day as the sample collection. However, the TAT duration may vary depending on the diagnostic clinic.

Can medications affect my factor XI assay results?

Yes, medications such as blood thinners can affect factor XI levels. So, it is important to inform your healthcare provider about any medications you are using prior to the test.

What precautions should individuals with factor XI deficiency take?

Individuals with factor XI deficiency should be cautious and avoid activities that pose a high risk of injury and bleeding. They need to communicate their condition to healthcare professionals before undergoing any surgical or dental procedures.

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