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warfarin-induced epidermal necrosis

Etiology: (risk factors) 1) higher initial dosing 2) hereditary deficiency of protein C 3) protein S deficiency 4) antithrombin 3 deficiency Epidemiology: 1) 1 in 10,000 warfarin-treated patients - occurs even less frequently in ambulatory patients 2) middle-age to elderly 3) females > males, especially if obese Pathology: 1) epidermal necrosis 2) thrombosis & occlusion of blood vessels 3) weak inflammatory response 4) in individuals with protein C deficiency, warfarin reduces protein C levels further before diminishing other vitamin K-dependent clotting factors, inducing a transient hypercoagulable state & thrombosis 5) lesions may subside or heal by granulation Clinical manifestations: 1) generally occurs between 3rd & 5th days of anticoagulation with warfarin 2) lesions vary with severity of reaction - petechiae, ecchymoses, hemorrhagic infarcts, extensive necrosis 3) early lesions: large, red, indurated plaques 4) later lesions: well demarcated, violaceous to black geographic areas of necrosis 5) hemorrhagic bullae & large erosions may complicate infarcts 6) late: tissue sloughing & ulceration if lesions are not debrided & grafted 7) lesions are tender & painful 8) lesions occur on areas of abundant adipose tissue a) breasts, buttocks, abdomen, thighs, calves b) acral areas are spared Laboratory: 1) coagulation studies usually within normal limits 2) protein C assay is a functional assay, thus NOT useful in anticoagulated patient Differential diagnosis: 1) purpura fulminans (disseminated intravascular coagulation) 2) hematoma/ecchymosis in overly anticoagulated patient 3) necrotizing soft tissue infection 4) vasculitis 5) brown recluse spider bite 6) heparin necrosis (injection site) Management: 1) discontinue warfarin 2) administer vitamin K 3) substitute heparin or LMW heparin as anticoagulant 4) administer protein C concentrate to protein C deficient patient 5) treat necrotic tissue as 3rd degree burn 6) debride necrotic tissue 7) graft debrided site 8) prevention a) medical alert bracelet b) suggestion made that protein C deficiency may occur with initiation of warfarin administration in patients heterozygous for a defect in the gene for protein C, but that the risk of skin necrosis is attenuated by anticoagulation with heparin [2] 9) prognosis: may be life threatening in debilitated patient

References

  1. Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 600-602
  2. Hoffman, Hematology: Basic Principles and Practice, 3rd ed., Churchill Livingstone Inc., 2000, page 2045 http://home.mdconsult.com/das/book/37126987-2/view/1053?sid=265514817