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Corticosteroids provoke acute endothelial injury -- an ideal ground for thrombosis in multiple sclerosis
Vol 26, Issue 1, 2012
Abstract
Despite the effect corticosteroids exert on blood clotting and the irrefutable impact of intracranial sure decreasing shortly after lumbar puncture, a certain number of intracranial thromboses remain unexplained. Corticosteroids are useful in reducing the severity and duration of relapses of multiple sclerosis. Several questions emerge concerning the reasons behind thrombosis occurring so sporadically, not pertaining to any rule, the most important of which regard the location and timing. We developed this hypothesis as an obverse to chronic endothelial injury theory which, only partially explains atherosclerosis development. We followed Virchows classical triad of conditions which are believed to be connected to the development of thrombosis. Although corticosteroids affect more than vessel wall injury, component of Virchows triad that has been our narrowest interest is exactly vessel wall injury.
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Copyright (c) 2012 I. Sosa, I. STRENJA LINIC, S. Bajek, D. Cuculic, Z. Crncevic-Orlic, A. Grubesic, O. CVIJANOVIC, A. Bosnar
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Medical Genetics, University of Torino Medical School, Italy
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy