Coagulation status and biochemical and inflammatory markers in multiple sclerosis

J Clin Neurosci. 2008 Apr;15(4):393-7. doi: 10.1016/j.jocn.2007.02.090. Epub 2008 Feb 6.


Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system and is the most common cause of neurologic disability in young adults. In this study, the coagulation status and biochemical and non-specific inflammatory markers in patients with MS were investigated. Plasma prothrombin time, activated partial thrombin time, fibrinogen, D-dimer, serum high sensitive C-reactive protein, homocysteine, blood urea nitrogen, creatinine, calcium, total protein, albumin, total cholesterol, vitamin B12, folate levels and erythrocyte sedimentation rate were measured in 42 patients with MS and 31 healthy subjects as a control group. There was a positive correlation between homocysteine and D-dimer levels (r=0.84, p<0.01). However, there was no significant correlation between homocysteine, vitamin B12 (r=0.18) and folate (r=0.23) levels. Serum total protein, albumin and calcium levels of MS patients were lower than the control group. There are some alterations in the coagulation and biochemical status in MS patients. These findings may contribute to better understanding of the etiopathogenesis and clinical characteristics of this disease.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Analysis of Variance
  • Blood Coagulation Factors / metabolism*
  • Blood Urea Nitrogen
  • C-Reactive Protein / metabolism
  • Calcium / blood
  • Creatinine / blood
  • Female
  • Fibrin Fibrinogen Degradation Products / metabolism*
  • Homocysteine / blood*
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / blood*
  • Multiple Sclerosis / physiopathology
  • Time Factors


  • Blood Coagulation Factors
  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D
  • Homocysteine
  • C-Reactive Protein
  • Creatinine
  • Calcium