"Spontaneous" Heparin-Induced Thrombocytopenia and Thrombosis After Total Knee Arthroplasty: A Report of 2 Cases.

Arthroplast Today

Division of Hematology-Oncology, UCLA Department of Medicine, David Geffen School of Medicine, Los Angeles, CA, USA.

Published: June 2021

"Spontaneous" heparin-induced thrombocytopenia is a rare and virulent form of heparin-induced thrombocytopenia that occurs in the absence of exposure to any drug of the heparin class of anticoagulants. Most reported cases have occurred after knee replacement surgery. Herein we report 2 additional cases following total knee replacement. Clinical suspicion and immediate initiation of appropriate nonheparin anticoagulation are essential to avoid potentially devastating thrombotic complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8121995PMC
http://dx.doi.org/10.1016/j.artd.2021.03.005DOI Listing

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