Rapid laboratory identification of fibrinogen Longmont: a case report and literature review - Report - MDSpire

Rapid laboratory identification of fibrinogen Longmont: a case report and literature review

  • By

  • Cuihua Ma

  • Xuezhuo Li

  • Da Yin

  • Huidong Ma

  • Wenran Lu

  • Chunhua Wang

  • June 22, 2026

  • 0 min

Share

Clinical Report: Swift Laboratory Detection of Fibrinogen Abnormalities

Background

Fibrinogen is crucial for thrombus formation, and its abnormalities can lead to significant clinical implications. Accurate detection of fibrinogen levels is essential, particularly in patients undergoing surgical procedures. This case illustrates the challenges posed by assay interferences in fibrinogen testing.

Data Highlights

No numerical data or trial data presented in the article, highlighting the need for careful interpretation of fibrinogen testing results.

Key Findings

  • The patient exhibited low fibrinogen levels via optical assay, but normal levels via magnetic bead assay.
  • Fibrinogen Longmont was confirmed as the diagnosis, characterized by a genetic mutation affecting fibrin clot formation.
  • Optical methods can yield falsely low fibrinogen results due to reduced turbidity signal.
  • Methodological discrepancies in fibrinogen testing can lead to misinterpretation of coagulation status.
  • Accurate laboratory pathways can prevent unnecessary blood product transfusions and surgical delays.

Clinical Implications

Clinicians should be aware of the potential for assay interferences in fibrinogen testing, particularly when interpreting results from optical methods.

Conclusion

This case highlights the importance of selecting appropriate laboratory assays for fibrinogen detection.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Author(s)/Org, Source, Year -- Title
  3. Author(s)/Org, Source, Year -- Title
  4. Author(s)/Org, Source, Year -- Title
  5. Measurement of heparin, direct oral anti‐coagulants and other non‐coumarin anti‐coagulants and their effects on haemostasis assays: A British Society for Haematology Guideline
  6. Diagnosis of Hemophilia and Other Bleeding Disorders: A Laboratory Manual - Third edition
  7. ADLM Guidance Document on Coagulation Testing in Patients Using Direct Oral Anticoagulants | The Journal of Applied Laboratory Medicine
  8. Measurement of heparin, direct oral anti‐coagulants and other non‐coumarin anti‐coagulants and their effects on haemostasis assays: A British Society for Haematology Guideline
  9. Diagnosis of Hemophilia and Other Bleeding Disorders: A Laboratory Manual - Third edition
  10. ADLM Guidance Document on Coagulation Testing in Patients Using Direct Oral Anticoagulants | The Journal of Applied Laboratory Medicine | Oxford Academic
  11. CRIHEM8186265 1..4
  12. Technical features and analytical performances of the Stago Expert Preanalytical Check module for hemolysis, icterus, and lipemia measurement - PMC
  13. Thank you for using version 2025.4.1104.462 of Telerik Document Processing Libraries. Access to the latest updates and support requires a license. Learn more in the documentation below. Learn more about Telerik
  14. An exploratory plasma-based functional assay for phenotypic characterization of fibrinolysis in dysfibrinogenemia - PubMed
  15. 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP
  16. Efficacy and safety of human fibrinogen concentrate (BT524) in patients with major haemorrhage undergoing major orthopaedic or abdominal surgery (AdFIrst): a randomised, active-controlled, multicentre, partially blinded, phase 3 non-inferiority trial - ScienceDirect
  17. Effect of early administration of fibrinogen replacement therapy in traumatic haemorrhage: a systematic review and meta-analysis of randomised controlled trials with narrative synthesis of observational studies

Original Source(s)

Related Content