In a 70-year old woman presenting with extended coumarin-necroses on her right thigh and shin histological findings, immunofluorescence and coagulation-parameters favoured a mechanism closely related to a local Sanarelly-Shwartzman-reaction. A primary immunological process involving the vessel walls could be ruled out.

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In a 70-year old woman presenting with extended coumarin-necroses on her right thigh and shin histological findings, immunofluorescence and coagulation-parameters favoured a mechanism closely related to a local Sanarelly-Shwartzman-reaction. A primary immunological process involving the vessel walls could be ruled out.

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