Concurrent Hand and Penile Gangrene following Prolonged Warfarin Use; a Case Report

Journal Title: Archives of Academic Emergency Medicine - Year 2017, Vol 5, Issue 1

Abstract

Warfarin induced skin necrosis (WISN) is a rare but important side effect of warfarin. Early diagnosis may lessen the amount of permanent tissue damage and can prevent progression to full thickness skin necrosis. So, physicians should be aware of such a complication. Screening for protein C or S or anti-thrombin deficiencies, or presence of anti-phospholipid antibodies before beginning warfarin therapy, could be helpful to avoid high levels of international normalized ratio (INR). Here, we report a 54-year-old man who presented to the emergency department with acral and penile gangrene following prolonged use of warfarin.

Authors and Affiliations

Keywords

Related Articles

Medical Errors in Emergency Department; a Letter to Editor

Medical error is the third leading cause of death in the United States of America and almost 100000 patients lose their life due to medical errors every year (1). Studies show that the number of medical errors is increa...

Screening Characteristics of Ultrasonography in Detection of Ankle Fractures

Introduction: Ankle fracture is one of the most common joint fractures. X-ray and physical examination are its main methods of diagnosis. Recently, ultrasonography (US) is considered as a simple and non-invasive method o...

Oral Chloral Hydrate Compare with Rectal Thiopental in Pediatric Procedural Sedation and Analgesia; a Randomized Clinical Trial

Introduction: The increasing use of diagnostic imaging in pediatric medicine has resulted in growing need for procedural sedation and analgesia (PSA) to minimize motion artifacts during procedures. The drug of choice in...

Oral Piracetam vs Betahistine in Outpatient Management of Peripheral Vertigo; a Randomized Clinical Trial

Introduction: Although vertigo is a common complaint in patients presenting to the emergency department (ED), its ideal treatment is still under debate. This study was conducted to compare oral betahistine and oral pirac...

Short-Term Outcome of Discharged Low-Risk Chest Pain without Provoke Ischemia Study

Introduction: Chest pain is a common problem in patients referring to emergency units. The present study was un-dertaken to evaluate the short-term outcome of patients presenting with a low risk chest pain and dischargin...

Download PDF file
  • EP ID EP339316
  • DOI 10.22037/emergency.v5i1.14333
  • Views 191
  • Downloads 0

How To Cite

(2017). Concurrent Hand and Penile Gangrene following Prolonged Warfarin Use; a Case Report. Archives of Academic Emergency Medicine, 5(1), 71-. https://europub.co.uk/articles/-A-339316