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Scott syndrome, characterized by impaired transmembrane migration of
procoagulant phosphatidylserine and hemorrhagic complications, is an
inherited disorder
F Toti, N Satta, E Fressinaud, D Meyer and JM Freyssinet
Institut d'Hematolgoie et Immunologie, Faculte de Medecine, Universite
Louis Pasteur, Strasbourg, France.
An as yet single family with a bleeding history is shown to present the
characteristic lack of membrane expression of procoagulant phospholipids
observed in Scott syndrome. Low prothrombin consumption in the serum of the
propositus, a 71-year-old woman, and two of her children was the sole
abnormal hemostasis parameter. The degree of exposure of procoagulant
phospholipids, chiefly phosphatidylserine, was reduced in stimulated
platelets, erythrocytes and Epstein-Barr virus- infected B lymphocytes. The
data are compatible with homozygous status of the propositus and
heterozygous status of her children. Scott syndrome appears to be
transmitted as an autosomal recessive trait reflecting the deletion or
mutation of a putative outward phosphatidylserine translocase. The detailed
knowledge of this transporter could have an impact in membrane physiology.
Volume 87,
Issue 4,
pp. 1409-1415,
02/15/1996
Copyright © 1996 by The American Society of Hematology

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