Pathogenesis, diagnosis, and management of disseminated intravascular coagulation: a literature review
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Published on: September 9, 2012
1492 General Military Hospital, Alexandroupolis, Greece. hdlns@freemail.gr
Insights
Disseminated Intravascular Coagulation (DIC) diagnosis and management are challenging due to complex pathogenesis. Recent research offers improved diagnostic tools and supportive therapies for this severe condition.
Area of Science:
- Hematology
- Pathophysiology
- Critical Care Medicine
Background:
- Disseminated Intravascular Coagulation (DIC) is an acquired syndrome involving systemic intravascular coagulation activation.
- It occurs secondary to severe underlying diseases, leading to fibrin deposition.
- Current understanding of DIC pathogenesis has advanced, yet diagnosis remains challenging.
Purpose of the Study:
- To review existing literature on the pathogenesis of DIC.
- To examine the diagnostic challenges and methods for DIC.
- To explore current management and therapeutic strategies for DIC.
Main Methods:
- Literature review of articles indexed in the Index Medicus database.
- Focus on studies detailing DIC pathogenesis, diagnosis, and management.
- Synthesis of recent findings on DIC.
Main Results:
- Recent studies have elucidated key pathogenic pathways triggering DIC.
- No single sensitive and specific laboratory test exists for definitive DIC diagnosis.
- Optimal management of the underlying disorder is crucial for DIC treatment.
Conclusions:
- New diagnostic algorithms have been developed for DIC.
- Supportive therapeutic strategies for DIC have been enhanced.
- Advances in understanding DIC pathogenesis inform potential therapeutic interventions.
Background:
Disseminated Intravascular Coagulation (DIC) is an acquired syndrome characterized by systemic intravascular activation of coagulation, leading to deposition of fibrin in the circulation, occurring in the course of severe diseases.
Objective:
To review literature for articles that focus on the pathogenesis, diagnosis, and management of DIC.
Information Sources:
Selected articles from the Index Medicus data base.
State Of The Art:
Recent studies have elucidate the pathogenic pathways that can trigger DIC. However, clinical and laboratory diagnosis of the syndrome remains difficult, as there is no single laboratory test, sensitive and specific enough, to allow a definitive diagnosis of DIC. Cornerstone for the treatment of DIC remains the optimal management of the underlying disorder. However, therapeutic interventions based on our present knowledge of the pathogenesis of DIC may be appropriate.
Conclusion:
Recent research on DIC, resulted in the development of diagnostic algorithms for the diagnosis of the syndrome and better supportive therapeutic strategies.
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