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Update on the treatment of disseminated intravascular coagulation
Massimo Franchini1, Franco Manzato
1Servizio di Immunoematologia e Trasfusione--Centro Emofilia, Ospedale Policlinico, Piazzale Ludovico Scuro, 37134 Verona, Italy. mfranchini@mail.univr.it
Insights
Disseminated intravascular coagulation (DIC) involves widespread clotting and bleeding. This review covers current treatments for overt DIC and explores new therapeutic strategies based on recent pathogenesis understanding.
Area of Science:
- Hematology
- Pathophysiology
- Pharmacology
Background:
- Disseminated intravascular coagulation (DIC) is a critical condition.
- It involves systemic activation of coagulation leading to thrombosis and hemorrhage.
- This occurs due to fibrin formation and consumption of platelets and clotting factors.
Purpose of the Study:
- To review current knowledge on DIC treatment.
- To focus on standard treatments for overt DIC.
- To highlight novel therapeutic strategies informed by recent pathogenesis insights.
Main Methods:
- Literature review of DIC treatment.
- Analysis of current clinical practices for overt DIC.
- Exploration of emerging therapeutic approaches.
Main Results:
- Current standard treatments for overt DIC are detailed.
- Novel therapeutic strategies are presented.
- Progress in understanding DIC pathogenesis is reflected in new treatments.
Conclusions:
- Effective management of DIC relies on understanding its complex pathophysiology.
- Standard treatments address overt DIC symptoms.
- Emerging therapies offer potential for improved patient outcomes.
Abstract:
Disseminated intravascular coagulation (DIC) is characterized by an acute generalized, widespread activation of coagulation, which results in thrombotic complications, due to the intravascular formation of fibrin, as well as diffuse hemorrhages, due to the consumption of platelets and coagulation factors. In this review, we briefly report the present knowledge about the treatment of DIC. We focus on the current standard treatment of overt DIC in clinical practice. Moreover, particular attention is made to novel therapeutic strategies, who reflect the important progresses in the understanding of the pathogenesis of this syndrome in the last few years.
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