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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-11-6
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pubmed:abstractText |
An unusually prolonged case of heparin-induced severe thrombocytopenia and decompensated disseminated intravascular coagulation (DIC) is described. The patient, treated with heparin at a dosage of 25,000 units/day for 3 days and 12,500 units/day for an additional 4 days because of a clinically suspected deep venous thrombosis, developed (4 days after the discontinuation of heparin) a clinical and laboratory picture of severe DIC, manifested by subcutaneous hematomas and ecchymoses. Platelet count was 24 x 10(9)/l, fibrinogen level 89 mg/dl and fibrin-degradation products between 3,200 to 6,400 ng/ml. A thorough laboratory and instrumental evaluation failed to demonstrate any underlying disorder. No heparin-dependent aggregating factor was detected in the serum of the patient. The patient recovered spontaneously. Whereas fibrinogen and fibrin-degradation products reverted to normality within four weeks, platelet count normalization was delayed until the sixth week after heparin discontinuation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0390-6078
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
77
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
174-6
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1398304-Aged,
pubmed-meshheading:1398304-Blood Coagulation Tests,
pubmed-meshheading:1398304-Disseminated Intravascular Coagulation,
pubmed-meshheading:1398304-Female,
pubmed-meshheading:1398304-Hematoma,
pubmed-meshheading:1398304-Heparin,
pubmed-meshheading:1398304-Humans,
pubmed-meshheading:1398304-Platelet Count,
pubmed-meshheading:1398304-Purpura, Thrombocytopenic,
pubmed-meshheading:1398304-Thrombocytopenia,
pubmed-meshheading:1398304-Thrombophlebitis,
pubmed-meshheading:1398304-Time Factors,
pubmed-meshheading:1398304-Warfarin
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pubmed:articleTitle |
An unusually prolonged case of heparin-induced thrombocytopenia and disseminated intravascular coagulation.
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pubmed:affiliation |
Dipartimento di Ematologia, Ospedale San Bortolo, Vicenza, Italy.
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pubmed:publicationType |
Journal Article,
Case Reports
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