1973
DOI: 10.1111/j.1365-2133.1973.tb07538.x
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The skin in disseminated intravascular coagulation.

Abstract: SUMMARY The cutaneous manifestations of disseminated intravascular coagulation (DIC) present in thirty‐three of forty‐five patients included petechiae, purpura, palpable variants of both, acral cyanosis, haemorrhagic bullae, purpura fulminans, subcutaneous dissecting haematomata, or bleeding from wound or venipuncture sites. In 47% of cases cutaneous lesions were the presenting sign. Coagulation tests were usually abnormal in a pattern diagnostic of DIC. However when initial coagulation‐test observations were … Show more

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Cited by 84 publications
(28 citation statements)
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“…The cutaneous findings include petechiae, macular or palpable purpura, hemorrhagic bullae, subcutaneous hematomas, and bleeding from areas of trauma, such as venipuncture sites or surgical wounds. 88 Acrocyanosis in DIC is a gun-metal gray to purplish, sharply demarcated and symmetrical discoloration of the tips of the fingers or toes that may progress to gangrene. A distinctive finding, purpura fulminans, tends to occur with infections and consists of an extensive confluent purpura of explosive onset, frequently associated with hemorrhagic bullae and focal gangrene (Fig 10).…”
Section: Disseminated Intravascular Coagulationmentioning
confidence: 99%
“…The cutaneous findings include petechiae, macular or palpable purpura, hemorrhagic bullae, subcutaneous hematomas, and bleeding from areas of trauma, such as venipuncture sites or surgical wounds. 88 Acrocyanosis in DIC is a gun-metal gray to purplish, sharply demarcated and symmetrical discoloration of the tips of the fingers or toes that may progress to gangrene. A distinctive finding, purpura fulminans, tends to occur with infections and consists of an extensive confluent purpura of explosive onset, frequently associated with hemorrhagic bullae and focal gangrene (Fig 10).…”
Section: Disseminated Intravascular Coagulationmentioning
confidence: 99%
“…Once this process starts, changes in the patient’s status occur rapidly and require intense monitoring with subsequent changes in therapy as indicated [2]. The classic cutaneous manifestations of DIC present as skin wounds such as bruising, contusions, petechiae, purpura, acral cyanosis, hemorrhagic bullae, purpura fulminans, subcutaneous dissecting hematomata, or bleeding from wound or venipuncture sites [3]. …”
Section: Introductionmentioning
confidence: 99%
“…]. Pathology studies have supported the central role of intravascular clotting in this process [42,43], although occasional studies have not documented diffuse thrombosis [19].…”
Section: Consumptive Thrombocytopenianonimmunologicalmentioning
confidence: 99%