SEVERE SKIN NECROSIS FOLLOWING WARFARIN THERAPY IN A PATIENT WITH PROTEIN-C DEFICIENCY

被引:13
|
作者
LOCHT, H
LINDSTROM, FD
机构
[1] Department of Medicine, Division of Rheumatology, University Hospital Linköping, Linköping
关键词
ANTICOAGULATION; PROTEIN-C DEFICIENCY; SKIN NECROSIS;
D O I
10.1111/j.1365-2796.1993.tb00989.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A female patient with a history of both arterial and venous thrombosis developed extensive skin necrosis following warfarin treatment. When protein C deficiency was diagnosed, successful anticoagulation with warfarin was achieved by prolonging the course of intravenous heparin and introducing warfarin therapy with a low initial dose which was gradually increased. Aspects of the pathogenic mechanism are discussed.
引用
收藏
页码:287 / 289
页数:3
相关论文
共 50 条
  • [21] PROTEIN-C AND THE DEVELOPMENT OF SKIN NECROSIS DURING ANTICOAGULANT-THERAPY
    BROEKMANS, AW
    BERTINA, RM
    LOELIGER, EA
    HOFMANN, V
    KLINGEMANN, HG
    [J]. THROMBOSIS AND HAEMOSTASIS, 1983, 49 (03) : 251 - 251
  • [22] FAMILIAL TYPE-II PROTEIN-C DEFICIENCY ASSOCIATED WITH WARFARIN-INDUCED SKIN NECROSIS AND BILATERAL ADRENAL HEMORRHAGE
    CONLAN, MG
    BRIDGES, A
    WILLIAMS, E
    MARLAR, R
    [J]. AMERICAN JOURNAL OF HEMATOLOGY, 1988, 29 (04) : 226 - 229
  • [23] HOMOZYGOUS PROTEIN-C DEFICIENCY - EARLY TREATMENT WITH WARFARIN
    HARTMAN, KR
    MANCOJOHNSON, M
    RAWLINGS, JS
    BOWER, DJ
    MARLAR, RA
    [J]. AMERICAN JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 1989, 11 (04): : 395 - 401
  • [24] COUMARIN NECROSIS IN HEREDITARY PROTEIN-C DEFICIENCY
    STOBERL, C
    KARNIK, R
    [J]. HAUTARZT, 1986, 37 (09): : 524 - 524
  • [25] SKIN NECROSIS AND PROTEIN-C DEFICIENCY ASSOCIATED WITH VITAMIN-K DEPLETION IN A PATIENT WITH RENAL-FAILURE
    SOUNDARARAJAN, R
    LEEHEY, DJ
    YU, AW
    ING, TS
    MILLER, JB
    [J]. AMERICAN JOURNAL OF MEDICINE, 1992, 93 (04): : 467 - 470
  • [26] HETEROZYGOUS PROTEIN-C DEFICIENCY PRESENTING AS SEVERE PROTEIN-C DEFICIENCY AND PERIPARTUM THROMBOSIS - SUCCESSFUL TREATMENT WITH PROTEIN-C CONCENTRATE
    GOODWIN, TM
    GAZIT, G
    GORDON, EM
    [J]. OBSTETRICS AND GYNECOLOGY, 1995, 86 (04): : 662 - 664
  • [27] A case of warfarin skin necrosis despite enoxaparin anticoagulation in a patient with protein S deficiency
    Tai, CY
    Ierardi, R
    Alexander, JB
    [J]. ANNALS OF VASCULAR SURGERY, 2004, 18 (02) : 237 - 242
  • [28] HOMOZYGOUS PROTEIN-C DEFICIENCY - OBSERVATIONS ON THE NATURE OF THE MOLECULAR ABNORMALITY AND THE EFFECTIVENESS OF WARFARIN THERAPY
    PETERS, C
    CASELLA, JF
    MARLAR, RA
    MONTGOMERY, RR
    ZINKHAM, WH
    [J]. PEDIATRICS, 1988, 81 (02) : 272 - 276
  • [29] ACQUIRED PROTEIN-C DEFICIENCY IN CHRONIC RENAL-FAILURE IS ASSOCIATED WITH SKIN NECROSIS
    FRANCIS, CW
    MEHTA, RL
    [J]. THROMBOSIS AND HAEMOSTASIS, 1989, 62 (01) : 15 - 15
  • [30] DETECTING PROTEIN-S AND PROTEIN-C DEFICIENCY IN PATIENTS ON WARFARIN
    SANDERS, JS
    HOLDING, S
    [J]. THROMBOSIS AND HAEMOSTASIS, 1993, 69 (06) : 934 - 934