title: Confusing combination of thrombocytopenia and thrombosis after heparin therapy in a patient with cardiac leiomyosarcoma; a nephrologist viewpoint.
abstract: We represent here a 30-year-old woman with cardiac leiomyosarcoma who developed thrombocytopenia and deep vein thrombosis a few days after the start of low molecular weight heparin. Thrombocytopenia improved after replacement of low molecular weight heparin with hirudine. We speculated that cardiac leiomyosarcoma is a predisposing factor for development of heparin induced thrombocytopenia.
authors.affiliation: Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mohammad-Reza
authors.initials: MR
authors.lastname: Ardalan
keywords: Heparin; Leiomyosarcoma; Low molecular weight heparin; Thrombocytopenia; Thrombosis