[Acenocoumarol and vasculitis - a rare case].
The authors present a case of a man with 62 years of age who comes to the emergency room by purple skin lesions affecting the whole body, including palmar-plantar involvement, with insidious installation, with three weeks of development. Physical examination revealed multiple purple-shaping round and confluent lesions involving the entire body. Laboratory tests performed were all normal. During the admission a skin biopsy was performed. After exclusion of other causes for the purpuric lesions, the acenocoumarol was interrupted and the lesions disappeared, spontaneously, in a week. The purple was attributed to the administration of acenocoumarol, given the resolution of lesions, despite the chronicity of therapy. This case illustrates a rare association between vasculitis and acenocoumarol.
Serviço de Reumatologia – Hospitais da Universidade de Coimbra, Coimbra. pmabreu@aeiou.pt
Pedro
P
Abreu
Cátia
C
Duarte
Armando
A
Malcata
D000074:Acenocoumarol / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014657:Vasculitis / Q000139:chemically induced*
D000925:Anticoagulants; D000074:Acenocoumarol