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Author4 Posts
  #1

hi all,

a patient taking warfarin develops hemorrhagic skin necrosis.

do we jump to the conclusion that he has heterozygous Protein C deficiency (a la Goljan HY), or can this happen normally since Protein C has a shorter half life compared to other Vit K dependant coagulation factors, hence gets inactivated quicker ?

thanks,

vikramjit




  #2

a la goljan hy, i think this occurs in the first week so one gives heparin along with warfarin and keep warfarin dose low.???

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  #3

more info
http://www.medscape.com/viewarticle/451073_2

it does happen within 10days and is related to protein c, s deficiency and some other stuff as indicated in this article.


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  #4

thanks tolito for the prompt n comprehensive reply, sure did clear out the mess.












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