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Updated: Aug 13, 2026

Rapid Point-of-Care Assay of Enoxaparin Anticoagulant Efficacy in Whole Blood
Published on: October 12, 2012
Eczema-like plaques secondary to enoxaparin
J M L White1, S E Munn, J-E Seet
1Department of Dermatology, Orpington Hospital, Sevenoaks Road, Orpington, Kent BR6 9JU, UK. onathanmlwhite@hotmail.com
Abstract:
Low-molecular-weight heparins are used extensively in acute medicine. They are generally well tolerated but may cause a rare, eczema-like type IV hypersensitivity reaction. We report 3 cases of this eruption and speculate that it may be significantly under-reported due to misidentifying the causal drug, which may have serious consequences. We discuss treatment alternatives such as fondaparinux sodium, which may rarely cross-react.
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