title: [Paraneoplastic syndrome of disseminated intravascular coagulation in cardial carcinoma with multiple metastases].
abstract: A case of paraneoplastic DIC syndrome (asymptomatic carcinoma of the gastric fundus with multiple metastases) is described. Initially, differential diagnosis hesitated before thrombotic thrombocytopenic purpura (Moschowitz' syndrome), given the presence of grave microangiopathic haemolytic anaemia as a major symptom. The main characteristics of Moschowitz' syndrome and the most frequent causes of DIC are described in the discussion.
mesh_terms: D000368:Aged; D002299:Cardia; D003937:Diagnosis, Differential; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000473:pathology*; D011697:Purpura, Thrombotic Thrombocytopenic / Q000175:diagnosis; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology*
vernacular_title: Sindrome paraneoplastica di coagulazione intravascolare disseminata in carcinoma cardiale con metastasi multiple.