Coumadin skin necrosis. Pedal manifestations

GV Viegas Reconstructive Foot Service, University of Chicago Hospital, IL.

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The idiosyncratic dermatologic reaction to coumarin-like agents, most notably, Coumadin (warfarin sodium) has been well described in the world's literature. Although the incidence is reported to be less than 0.1% of patients treated with Coumadin, pedal cases tend to be striking and their treatment seemingly tenuous.