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BibTex RIS Kaynak Göster

Mortaliteyle Sonuçlanan Geç Başlangıçlı Warfarin Kaynaklı Cilt Nekrozu Olgusu

Yıl 2023, Cilt: 5 Sayı: 1, 59 - 61, 20.02.2023
https://doi.org/10.52827/hititmedj.1173309

Öz

Warfarine bağlı cilt nekrozu, warfarin tedavisinin nadir görülen bir komplikasyonudur ve yüksek mortalite ile ilişkilidir. Burada 5,5 yıl önce atriyal fibrilasyon ve geçirilmiş mitral kapak cerrahisi nedeniyle warfarin tedavisine başlanan 53 yaşında kadın hastada ölümcül seyreden warfarine bağlı cilt nekrozu olgusu sunulmaktadır. Warfarin kullanan hastalar cilt lezyonları ile başvurduklarında warfarine bağlı cilt nekrozu açısından değerlendirilmelidir. Erken tanı, ilacın erken kesilmesi ve destek tedavisine erken başlanması hayat kurtarıcı olabilir.

Kaynakça

  • 1. Chan YC, Valenti D, Mansfield AO, Stansby G. Warfarin induced skin necrosis. Br J Surg. 2000;87(3):266-272.
  • 2. Sternberg ML, Pettyjohn FS. Warfarin sodium-induced skin necrosis. Ann Emerg Med. 1995;26(1):94-97.
  • 3. Goldberg SL, Orthner CL, Yalisove BL, Elgart ML, Kessler CM. Skin necrosis following prolonged administration of coumarin in a patient with inherited protein S deficiency. Am J Hematol. 1991;38(1):64-66.
  • 4. Muniesa C, Marcoval J, Moreno A, et al. Coumarin necrosis induced by renal insufficiency. Br J Dermatol. 2004;151(2):502-504.
  • 5. Kumar M, Abrina VM, Chittimireddy S. Coumadin-induced skin necrosis in a 64 year-old female despite LMWH bridging therapy. Am J Case Rep. 2012;13:157-159.
  • 6. Teepe RG, Broekmans AW, Vermeer BJ, Nienhuis AM, Loeliger EA. Recurrent coumarin-induced skin necrosis in a patient with an acquired functional protein C deficiency. Arch Dermatol. 1986;122(12):1408-1412.

A Case Of Late-onset Warfarin Induced Skin Necrosis Resulting In Mortality

Yıl 2023, Cilt: 5 Sayı: 1, 59 - 61, 20.02.2023
https://doi.org/10.52827/hititmedj.1173309

Öz

Warfarin-induced skin necrosis is a rare complication of warfarin therapy and is associated with high mortality. Here, we present a case of warfarin-induced skin necrosis, that was fatal in a 53-year-old female patient who was started on warfarin treatment 5.5 years ago due to atrial fibrillation and previous mitral valve surgery. Patients using warfarin should be evaluated for warfarin-induced skin necrosis when they present with skin lesions. Early diagnosis, early discontinuation of the drug, early initiation of supportive treatment can be life-saving.

Kaynakça

  • 1. Chan YC, Valenti D, Mansfield AO, Stansby G. Warfarin induced skin necrosis. Br J Surg. 2000;87(3):266-272.
  • 2. Sternberg ML, Pettyjohn FS. Warfarin sodium-induced skin necrosis. Ann Emerg Med. 1995;26(1):94-97.
  • 3. Goldberg SL, Orthner CL, Yalisove BL, Elgart ML, Kessler CM. Skin necrosis following prolonged administration of coumarin in a patient with inherited protein S deficiency. Am J Hematol. 1991;38(1):64-66.
  • 4. Muniesa C, Marcoval J, Moreno A, et al. Coumarin necrosis induced by renal insufficiency. Br J Dermatol. 2004;151(2):502-504.
  • 5. Kumar M, Abrina VM, Chittimireddy S. Coumadin-induced skin necrosis in a 64 year-old female despite LMWH bridging therapy. Am J Case Rep. 2012;13:157-159.
  • 6. Teepe RG, Broekmans AW, Vermeer BJ, Nienhuis AM, Loeliger EA. Recurrent coumarin-induced skin necrosis in a patient with an acquired functional protein C deficiency. Arch Dermatol. 1986;122(12):1408-1412.
Toplam 6 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Olgu Sunumu
Yazarlar

Sinem Bayrakçı 0000-0002-7462-3134

Pınar Korkmaz 0000-0002-6199-5254

Yayımlanma Tarihi 20 Şubat 2023
Gönderilme Tarihi 14 Eylül 2022
Kabul Tarihi 9 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 5 Sayı: 1

Kaynak Göster

AMA Bayrakçı S, Korkmaz P. A Case Of Late-onset Warfarin Induced Skin Necrosis Resulting In Mortality. Hitit Medical Journal. Şubat 2023;5(1):59-61. doi:10.52827/hititmedj.1173309