CASE OF ATYPICAL WARFARIN-INDUCED SKIN NECROSIS IN A CHILD WITH CONGENITAL HEART DISEASE

Author:

Lastovka V. A.1ORCID,Tepaev R. F.2ORCID,Gordeeva O. B.1ORCID,Gandaeva L. A.1ORCID,Basargina E. N.1ORCID,Derevnina Yu. V.1ORCID,Penkov Ye. L.2ORCID

Affiliation:

1. National Medical Research Center for Children’s Health

2. National Medical Research Center for Children’s Health; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Abstract

Introduction. Warfarin-induced skin necrosis constitutes a rare complication of warfarin treatment.Aim. To present a case study of the occurrence and successful treatment of atypical warfarin-induced skin necrosis in a child with congenital heart disease.General findings. The development of finger skin necrosis in a child with congenital heart disease almost 2 years after the start of warfarin therapy was described. In addition, possible causes of the complication and methods for its treatment were discussed.Conflict of interest: the authors declare no conflict of interest.Financial disclosure: the study had no sponsorship

Publisher

National Medical Research Center of Hematology of the Ministry of Health of the Russian Federation

Subject

Hematology

Reference18 articles.

1. Essex D.W., Wyn S.S., Jin D.K. Late onset warfarin induced skin necrosis: case report and review of the literature. Am. J. Hematol. 1998; 57(3): 233–23.

2. Amato L., Berti S., Fabbri P. Warfarin-induced skin necrosis: discussion. Skimed. 2003; 22: 127–130.

3. Eby C.S. Warfarin-induced skin necrosis. Hematol. Oncol. Clin. North Am. 1993; 7(6): 1291–300.

4. McGehee W.G., Klotz T.A., Epstein D.J., Rapaport S.I. Coumarin necrosis associated with hereditary protein C defi ciency. Ann. Intern. Med. 1984; 101: 59–60. DOI: 10.7326/0003-4819-101-1-59

5. Dean R.H., Yao J.S.T., Brewster D.C. Current Diagnosis and Treatment In Vascular Surgery. Connecticut: Appleton & Lange, 1995: 381–2.

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