This case highlights a rare occurrence of both heparin-induced thrombocytopenia and warfarin skin necrosis in the same patient, particularly affecting the upper extremity.
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Alerts clinicians to rare upper-extremity dual complication; single case leaves optimal strategies open.
A case of heparin-induced thrombocytopenia and warfarin skin necrosis is reported in a 62-year-old man treated for a subclavian venous thrombosis. These two complications occurring in the same patient have been reported only on two other occasions. Warfarin skin necrosis affecting the upper extremity has been reported only in four other patients.
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Syrek et al. (1998) studied this question.
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