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Enoxaparin-induced Wunderlich syndrome in a young patient with anti-GAD 65-associated opsoclonus and limbic encephalitis: a rare complication in a rare disease.
BMJ Case Rep
October 2021
Neurology, All India Institute of Medical Sciences, New Delhi, India.
Wunderlich syndrome is a rare condition characterised by acute spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal spaces. Our case of anti-GAD65-associated autoimmune encephalitis (AE), aged 30 years, developed this complication following use of enoxaparin and was managed by selective glue embolisation of subsegmental branches of right renal cortical arteries. Our case had opsoclonus as one of the clinical manifestations, which has till now been described in only two patients of this AE.
View Article and Find Full Text PDFPostpartum prophylaxis of venous thromboembolism with anticoagulation: A case report.
J Taibah Univ Med Sci
April 2021
Department of Clinical Pharmacy, King Saud Medical City, Riyadh, KSA.
Although there is a remarkably high risk of venous thromboembolism (VTE) during pregnancy and postpartum, a cautious approach is needed while initiating therapeutic and prophylactic anticoagulant therapy. The merits of heparin for thromboprophylaxis in postpartum patients are exaggerated, and its risk is generally overlooked. This study aimed to report the inappropriate use of anticoagulants in postpartum patients.
View Article and Find Full Text PDFEnoxaparin induced eruptive angiokeratoma, an extremely rare side effect.
J Thromb Thrombolysis
May 2020
Department of Dermatology, Cairo University, Cairo, Egypt.
Enoxaparin is one of the most commonly used anticoagulants in the management of thromboembolic events. Herein we report a unique case of enoxaparin induced eruptive angiokeratomas in a patient with a history of ischemic cardiomyopathy who presented with acute decompensated heart failure and a new-onset generalized skin rash that bleeds on trauma, suggestive of angiokeratomas. Dermoscopic examination, as well as skin biopsy, were done upon clinical suspicion of eruptive angiokeratomas, to confirm the diagnosis.
View Article and Find Full Text PDFEnoxaparin-Induced Spontaneous Rupture of Spleen Leading to Life Threatening Hypotensive Shock.
Am J Ther
February 2019
*Department of Internal Medicine, East Tennessee State University, Johnson City, TN †Department of Neurology, Augusta University, Augusta, GA.
Enoxaparin-induced unilateral hemotympanum.
Blood Coagul Fibrinolysis
July 2015
Department of Otolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
Hemotympanum is defined as the presence of blood in the middle ear cavity. It is commonly associated with skull fractures. Spontaneous hemotympanum secondary to anticoagulant therapy is extremely rare.
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