02627nam a22003977a 4500
221213s20222022 xxu||||| |||| 00| 0 eng d
2000-9666
10.55729/2000-9666.1081 [doi]
jchim-12-04-102 [pii]
PMC9533806 [pmc]
Ovid MEDLINE(R)
36262902
Arterial and Venous Thrombosis From Delayed-Onset Heparin-Induced Thrombocytopenia.
Journal of Community Hospital Internal Medicine Perspectives. 12(4):102-106, 2022.
J Community Hosp Intern Med Perspect. 12(4):102-106, 2022.
Journal of community hospital internal medicine perspectives
2022
FY2023
epublish
2022-12-13
Heparin Induced Thrombocytopenia (HIT) is a life threatening condition which is caused due to antibody formation following exposure to heparin or heparin products. It occurs due to the formation of Platelet Factor 4 antibodies (PF4). HIT is classified into 3 categories based on the duration between heparin exposure and onset of drop in platelet counts. A less common form of HIT is delayed onset HIT which occurs more than 9 days after exposure to heparin or heparin products. In this report we would like to present a rare case of delayed onset HIT which occurred in our patient who presented with rhabdomyolysis and Non ST elevation myocardial infraction (NSTEMI); which resulted in limb ischemia which needed to be treated by amputation of the affected area. We also highlight further management of patients who have thrombotic disease in the setting of HIT and review literature of how heparin or heparin products can be reintroduced in such patient who cannot be managed by other anticoagulation. Copyright © 2022 Greater Baltimore Medical Center.
English
IN PROCESS -- NOT YET INDEXED
MedStar Union Memorial Hospital
Internal Medicine Residency
Medicine
Case Reports
Chittal, Abhinandan
MUMH
Internal Medicine Residency
MBBS
Resident PGY 3
Kumar, Ajay
MUMH
Internal Medicine Residency
MBBS
Resident PGY 2
Lakra, Pallavi
MUMH
Internal Medicine Residency
MBBS
Resident PGY 2
Nacu, Natalia
Rao, Shiavax
MUMH
Internal Medicine Residency
MD
Resident PGY 3
Chittal AR, Kumar A, Lakra P, Nacu N, Rao SJ
https://dx.doi.org/10.55729/2000-9666.1081
https://dx.doi.org/10.55729/2000-9666.1081
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36262902
36262902
2022-12-13
2022-12-13
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