of vitamin K-dependent procoagulants are decreased, but the immunologically determined antigen concentration of these factors is unchanged. Consequently, the disparity between coagulant activity and antigen level (i.e., a low coagulant/ant igen ratio) indicates probable vitamin K deficiency. The abnormalities are usually corrected within a few hours after a parenterally administered dose of the vitamin. 9 In our patients, the antigen level of factor II did not change significantly during the study, which suggests an equal production of the protein precursor of factor II. Five to 7 days after a single parenteral dose of vitamin KI, evidence of vitamin K deficiency could be observed in preterm infants but not in term infants during T P N combined with antibiotic therapy. In other words, vitamin K deficiency developed earlier in preterm infants than in full-term infants, if the vitamin K sources were blocked. The mechanism of the earlier vitamin K deficiency in preterm infants is not known. Perhaps immaturi ty of the enzymes of the vitamin K cycle causes this phenomenon. Our observations indicate that preterm infants are endangered by vitamin K deficiency and need more frequent vitamin K prophylaxis than full-term infants require. R E F E R E N C E S 1. Corrigan JJ. The vitamin K dependent proteins. Adv Pediatr 1981;28:57. 2. Frick PG, Riedler G, Br6gly H. Dose response and minimal daily requirement for vitamin K in man. J Appl Physiol 1967;33:387. 3. Sann L, Leclercq M, Guillaumont M, Trouyez R, Bethenod M, Bonrgeay-Causse M. Serum vitamin Kj concentrations after oral administration of vitamin K~ in low birth weight infants. J PEDlATR 1985;107:608. 4. Shirahata A, Najiri T, Takarapi T, Horinchi T, Yamada K. Normotest screening and prophylactic oral administration for idiopathic vitamin K deficiency in infancy. Acta Haematol Jpn 1982;45:203. 5. Dubowitz L, Dubowitz V, Goldberg C. Clinical assessment of gestational age in the newborn infant. J PEDIATR 1970;77:1. 6. Merskey L, Kleiner GH, Johnson AJ. Quantitative estimation of split products of fibrinogen in human serum: relation to diagnosis and treatment. Blood 1966;28:1. 7. Breen FA, Tullis JI. Ethanol gelation: a rapid screening test for intravascular coagulation. Ann Intern Med 1968; 69:1197. 8. Mancini G, Carbonara AO, Hereman JF. Immunochemical quantitation of antigens by single radial immunodiffusion. Int J Immunochem 1965;2:235. 9. Lanne PA, Hathaway WE. Vitamin K in infancy. J PEDIATR 1985;106:351.
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