Fatal bleeding due to a heparin-like anticoagulant in a 37-year-old woman suffering from systemic mastocytosis

Autor: M Stockschläder, Norbert Gattermann, Rüdiger E. Scharf, Christoph Sucker, Georg Mansmann, Stefan Steiner, Robert Loncar, Anette Schmitt-Graeff
Rok vydání: 2007
Předmět:
Zdroj: Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis. 14(3)
ISSN: 1076-0296
Popis: A 37-year-old female patient with systemic mastocytosis who was admitted with severe unexplained bleeding symptoms is studied. Laboratory procedures established the diagnosis of a patient-derived—heparin-like anticoagulant as a very rare hemostatic abnormality predisposing to bleeding. The patient died from refractory disease despite therapy with protamine, initiation of chemotherapy, and supportive measures. The case illustrates the clinical presentation and diagnosis of heparin-like anticoagulants. Etiology, pathophysiology, and therapeutic options are discussed.
Databáze: OpenAIRE