Are You Confident of the Diagnosis? What you should be alert for in the history Skin findings are usually the trigger for a dermatologic consultation in a patient with suspected disseminated intravascular coagulation (DIC), consumptive coagulopathy, or purpura fulminans. but may precede the clinical recognition of the underlying coagulopathy. The dermatologist should be aware of…
Are You Confident of the Diagnosis? What you should be alert for in the history In an international cohort of 1000 patients with a mean age of 34 at onset of antiphospholipid antibody syndrome (APS), thrombotic events in arteries, veins or small vessels in any organ were the most common presenting events: deep venous thrombosis…
Are You Confident of the Diagnosis? What you should be alert for in the history Aside from livedo reticularis or racemosa, and possibly digital infarcts/limb ischemia, Raynaud phenomenon, or acral cyanosis in some patients, there are no dermatologic findings in the history or physical (Figure 1). The presence of livedo reticularis that is extensive or…
