Reptilase time may be more sensitive than a thrombin time to the presence of a dysfibrinogenemia. The reptilase clotting time may be used in place of, or in conjunction with, the thrombin time to measure fibrin formation.
Both reptilase time and thrombin time will be extended when functional fibrinogen levels are <100 mg/dL.
This can occur due to congenital conditions, including afibrinogenemia (complete lack of fibrinogen), hypofibrinogenemia, and in dysfibrinogenemia, a condition characterized by the presence of dysfunctional fibrinogen.
Bovine thrombin inhibitors (antibovine thrombin antibody) may develop in people previously treated with “fibrin glue” during surgical procedures (most fibrin glue products contain bovine thrombin). This acquired inhibitor prolongs the
(bovine-derived reagent) thrombin time, but does not prolong the reptilase time. A thrombin time using human-derived thrombin reagent will not be prolonged in the presence of a bovine thrombin inhibitor.
Unlike thrombin, reptilase is not affected by the presence of heparin, heparinoids, or hirudin and may be a useful tool in evaluating test plasma for their presence.
A prolonged thrombin time in a patient with a normal reptilase time suggest heparin therapy or contamination.
Understand and improve your laboratory results with our health dashboard.
Upload your lab reports and get interpretation today.
Our technology helps to understand, combine, track, organize, and act on your medical lab test results.
Acquired conditions that can lead to diminished fibrinogen levels and extended reptilase times include:
- liver disease,
- renal disease,
- disseminated intravascular coagulation (DIC),
- amyloidosis, malignancy, and thrombolytic therapy.
Paraproteins and fibrin degradation products, especially fragments D and E, interfere in fibrin polymerization, thus prolonging both the thrombin time and reptilase time.
Interpret Your Lab Results
Upload your lab report and we’ll interpret and provide you with recomendations today.
Get Started
Get Started With Our Personal Plan
Advanced Plan
Unlimited Plan
Are You a Health Professional?
Get started with our professional plan
Welcome to Healthmatters Pro.
Save time on interpreting lab results with the largest database of biomarkers online. In-depth research on any test at your fingertips, all stored and tracked in one place. Learn more
Pro Plan
for health professionals
$45 per month
At HealthMatters, we're committed to maintaining the security and confidentiality of your personal information. We've put industry-leading security standards in place to help protect against the loss, misuse, or alteration of the information under our control. We use procedural, physical, and electronic security methods designed to prevent unauthorized people from getting access to this information. Our internal code of conduct adds additional privacy protection. All data is backed up multiple times a day and encrypted using SSL certificates. See our Privacy Policy for more details.
14.3.3 ETA PROTEIN, Acetylcholine Receptor (AChR) Antibody, Activated partial thromboplastin time (APTT), ANA SCREEN, IFA, ANA titer, Anti-DBL-Strand DNA Ab, Anti-Smith Antibody, Anticardiolipin Ab,IgG,Qn, Antinuclear Antibodies Direct (ANA Direct), C1 Esterase Inhibitor, Func, CARDIOLIPIN AB (IGA), CARDIOLIPIN AB (IGG), CARDIOLIPIN AB (IGM), CCP Antibodies IgG/IgA, Complement C3, Complement C3a, Complement C4, Serum, Complement C4a, Complement, Total (CH50), Complement, Total (CH50) / Quest, Cyclic Citrullinated Peptide Antibody, Dilute Russell's viper venom time (dRVVT), DRVVT SCREEN, ds-DNA Antibody, IgG, Erythrocyte Sedimentation Rate (ESR), Gastrin, Histamine, Plasma, HLA-B27 (Human Leukocyte Antigen B27), Immature Grans (Abs), Immature Granulocytes (%), Immunofixation Result, Serum, Immunoglobulin A, Qn, Serum, Immunoglobulin D, Quant, Serum, Immunoglobulin E, Total, Immunoglobulin G, Qn, Serum, Immunoglobulin M, Qn, Serum, Interleukin-2, Serum, Interleukin-6, Jo 1 Antibodies, IgG, Serum, Liver-Kidney Microsomal Antibodies, Lupus Anticoagulant, PHOSPHATIDYLETHANOLAMINE AB (IGA), PHOSPHATIDYLETHANOLAMINE AB (IGG), PHOSPHATIDYLETHANOLAMINE AB (IGM), PHOSPHATIDYLSERINE AB (IGA), PHOSPHATIDYLSERINE AB (IGG), PHOSPHATIDYLSERINE AB (IGM), Prothrombin Time (PT), Prothrombin Time (PT) INR, RA Latex Turbid, Reptilase Clotting Time, Rheumatoid factor, TGF-b1, Thrombin time, Transforming Growth Factor beta, Plasma, Tryptase, VEGF, Plasma
