Local 'Shwartzman equivalent' reaction in active chronic hepatitis


The development of a purpura-fulminans-like disorder which is a human equivalent of a local Shwartzman reaction in a woman with active chronic hepatitis is described. The cyclical appearance of blue-black, well circumscribed, haemorrhagic, acutely painful lesions in the buttocks, over the lateral aspects ofthe thighs, and on the arms suggested the diagnosis. Evidence of increased intravascular coagulation was obtained although interpretation of clotting factor deficiencies in the presence of parenchymal liver disease was difficult. Treatment with heparin arrested the disorder

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@inproceedings{Whelton2006LocalE, title={Local 'Shwartzman equivalent' reaction in active chronic hepatitis}, author={Michael Whelton}, year={2006} }