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Angiology
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Coumarin Skin Necrosis in a Patient with Heparin-Induced Thrombocytopenia — A Case Report

Giovanni M. Celoria

Department of Surgery, Baystate Medical Center, Springfield, Massachusetts

Richard H. Steingart

From the Department of Hematology/Oncology, Baystate Medical Center, Springfield, Massachusetts

Bernabe Banson

From the Department of Pathology, Baystate Medical Center, Springfield, Massachusetts

Paul Friedmann

Department of Surgery, Baystate Medical Center, Springfield, Massachusetts

Sang W. Rhee

Department of Surgery, Baystate Medical Center, Springfield, Massachusetts

Joel A. Berman

Department of Surgery, Baystate Medical Center, Springfield, Massachusetts

A patient with evidence of both heparin-related thrombocytopenia and coumarin-induced skin necrosis is presented. Etiology, diagnostic evaluation, histopathology, and therapeutic options are discussed.

Angiology, Vol. 39, No. 10, 915-920 (1988)
DOI: 10.1177/000331978803901009
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