Haematologica
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Haematologica, Vol 79, Issue 3, 283-285
Copyright © 1994 by Ferrata Storti Foundation

Case Reports

Primary hyperfibrinogenolysis in a patient with anaphylactic shock

G Mazzi, A Raineri, E Lacava, D De Roia, L Santarossa, and BM Orazi

Servizio Immunotrasfusionale, Ospedale Civile, U.S.L. Pordenone, Italy.

Although systemic hyperfibrino(geno)lysis during hypotensive crisis is known, there do not seem to be recent reports of episodes of primary acute fibrinogenolysis during anaphylactic shock. We report the case of a 61-year-old male admitted to the hospital for anaphylactic shock due to an insect bite who presented a clinical and laboratory picture of severe acute generalized hyperfibrinogenolysis not secondary to disseminated intravascular coagulation (DIC). Without specific therapy, the clinical picture resolved itself spontaneously within 40 hours of onset. Careful clinical examination and the execution of simple laboratory tests permitted a rapid diagnosis and therapeutic success.




HOME HELP FEEDBACK TABLE OF CONTENTS ARCHIVE SUBSCRIPTIONS
Copyright © 1994 by the Ferrata Storti Foundation.