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DR. ROCK:
      Now, the typical disease lesion is a hyaline microthrombus; in other words, an amorphous staining protein deposit in the blood vessels, particularly in the small blood vessels, with platelet aggregates and fiber. As such, these lesions and clots are unlike those that we see in disseminated intravascular coagulation.
      They are not enriched in fibrinogen, one of the clotting proteins, but rather are highly enriched in von Willebrand factor, the protein which is deficient in patients with von Willebrand's disease. The other thing we didn't see is endothelial cell proliferation or certainly a reaction.




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