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Heparin-induced Thrombocytopenia in the Setting of Perioperative Bridging for Podiatric Surgery

A Case Report

Robert G. Frykberg Department of Podiatry, Carl T. Hayden VA Medical Center, Phoenix, AZ.

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Scott Gordon Department of Podiatry, Carl T. Hayden VA Medical Center, Phoenix, AZ.

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Edward Tierney Department of Podiatry, Carl T. Hayden VA Medical Center, Phoenix, AZ.

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Arthur Tallis Department of Podiatry, Carl T. Hayden VA Medical Center, Phoenix, AZ.

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Heparin is an anticoagulant commonly used to treat and prevent deep venous thrombosis. Heparin-induced thrombocytopenia and possible thrombosis are serious complications associated with its use. This can occasionally complicate treatment of patients undergoing podiatric surgery. Heparin-induced thrombocytopenia is often not immediately recognized and is underreported in podiatric medicine literature. The goal of this case report is to highlight the multiple risk factors associated with the development of heparin-induced thrombocytopenia and to aid with early recognition, understanding of pathogenesis, and treatment options. (J Am Podiatr Med Assoc 103(1): 67–72, 2013)

Corresponding author: Robert G. Frykberg, DPM, MPH, Department of Podiatry, Carl T. Hayden VA Medical Center, 650 E Indian School Rd, Phoenix, AZ 85012. (E-mail: Robert.Frykberg@med.va.gov)
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