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Román Y, de Oliveira Barddal HP, Iacomini M, Sassaki GL, Cipriani TR. Anticoagulant and antithrombotic effects of chemically sulfated fucogalactan and citrus pectin. Carbohydr Polym 2017; 174:731-739. [DOI: 10.1016/j.carbpol.2017.06.110] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Revised: 05/26/2017] [Accepted: 06/27/2017] [Indexed: 12/15/2022]
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Aydin E, Nuhoglu E, Orgul G, Can S, Deren O. Low-molecular-weight heparin-induced skin necrosis without platelet fall: a case report in pregnancy. CASE REPORTS IN PERINATAL MEDICINE 2017. [DOI: 10.1515/crpm-2016-0040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Background:
Skin necrosis, following subcutaneously administered low-molecular-weight heparin (LMWH) is a rare but serious complication and has not been documented during pregnancy in the literature to the best of our knowledge. Therefore, we are of the opinion that reporting this case may guide clinicians when presented with such patients.
Main observations:
A 36-year-old woman with painful skin lesions was admitted to our clinic at 36 gestational weeks’ of her first pregnancy. There was nothing remarkable in her medical history other than using prophylactic regimen of “low-molecular-weight heparin” (enoxaparine) 4000 units anti-Xa subcutaneously because of heterozygous factor V Leiden mutation. Potential reasons of the lesions were considered to be immunological reaction between heparin and dermal cells and management considered with these findings.
Conclusions:
Heparin-induced skin necrosis (HISN) is a condition that should always be borne in mind when there are nonspecific results. Enoxaparine treatment during pregnancy has a rare potential risk of causing necrosis at the injection site and it is reversible with careful intervention.
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Affiliation(s)
- Emine Aydin
- Hacettepe University , Faculty of Medicine Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , 06100 Sıhhiye , Ankara , Turkey , Tel.: +90 312 305 2477, Fax: +90 312 305 2315
| | - Esra Nuhoglu
- Hacettepe University Faculty of Medicine , Department of Obstetrics and Gynecology , Ankara , Turkey
| | - Gökçen Orgul
- Hacettepe University Faculty of Medicine , Department of Obstetrics and Gynecology , Ankara , Turkey
| | - Sema Can
- Hacettepe University Faculty of Medicine , Department of Obstetrics and Gynecology , Ankara , Turkey
| | - Ozgür Deren
- Hacettepe University Faculty of Medicine , Department of Obstetrics and Gynecology , Ankara , Turkey
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Optimization of chemical sulfation, structural characterization and anticoagulant activity of Agaricus bisporus fucogalactan. Carbohydr Polym 2016; 146:345-52. [DOI: 10.1016/j.carbpol.2016.03.061] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2015] [Revised: 03/08/2016] [Accepted: 03/19/2016] [Indexed: 11/20/2022]
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