Protein C deficiency
ICD-10 D68.5 · ICD-11 3B61.0Y.1

Treatment of Protein C Deficiency with Family History of Venous Thromboembolism

Clinical Scenario

This protocol applies to patients with known Protein C deficiency who also have a family history of venous thromboembolism and are currently exposed to a minor provoking risk factor for VTE.

Family history of VTE Protein C deficiency Minor provoking risk factor
Specific Conditions Present

The minor provoking risk factors in this scenario include transient immobility, minor injury, intercurrent illness, or infection — short-lived exposures that elevate VTE risk in this high-risk thrombophilia population.

Because family history of VTE is present alongside a confirmed high-risk thrombophilia, testing for the known familial thrombophilia is also a relevant consideration in this clinical context.

Management Approach

The approach in this setting involves thromboprophylaxis timed to the period of elevated risk — the complete structured regimen is available via the protocol below.

Instant Access to Structured Evidence-Based Regimens
References

DOI: 10.1111/jth.15732

For individuals with a family history of VTE and known antithrombin, protein C, or protein S deficiency (high-risk thrombophilia) who have a minor provoking risk factor for VTE, the ASH guideline panel suggests testing for the known familial thrombophilia.

The panel suggests thromboprophylaxis in individuals with thrombophilia and no thromboprophylaxis in individuals without thrombophilia.

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