title: Coumarin skin necrosis in a patient with heparin-induced thrombocytopenia--a case report.
abstract: 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.
authors.affiliation: Department of Surgery, Baystate Medical Center, Springfield, Massachusetts.
authors.forename: G M
authors.initials: GM
authors.lastname: Celoria
authors.forename: R H
authors.initials: RH
authors.lastname: Steingart
authors.forename: B
authors.initials: B
authors.lastname: Banson
authors.forename: P
authors.initials: P
authors.lastname: Friedmann
authors.forename: S W
authors.initials: SW
authors.lastname: Rhee
authors.forename: J A
authors.initials: JA
authors.lastname: Berman
mesh_terms: D001011:Aorta / Q000601:surgery; D001013:Aorta, Thoracic; D003374:Coumarins / Q000009:adverse effects*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis / Q000139:chemically induced*; D012867:Skin / Q000473:pathology*; D013921:Thrombocytopenia / Q000139:chemically induced*
chemical_list: D003374:Coumarins; D006493:Heparin; C030123:coumarin