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A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
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Thrombotic storm in Kimura disease.

Hong Liu1, Samer Z Al-Quran, Richard Lottenberg

  • 1Department of Medicine, Division of Hematology/Oncology, University of Florida College of Medicine, P.O. Box 100277, Gainesville, FL 32610-0296, USA.

Journal of Thrombosis and Thrombolysis
|May 27, 2009
PubMed
Summary
This summary is machine-generated.

Kimura disease, typically benign, can cause severe "thrombotic storm" with visceral venous thromboses. This case shows hypercoagulability linked to this eosinophilic disorder, managed with warfarin.

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Area of Science:

  • Immunology
  • Hematology
  • Pathology

Background:

  • Kimura disease is a chronic inflammatory condition common in Asians, characterized by angiolymphoid proliferation, eosinophil infiltration, eosinophilia, and elevated IgE.
  • The disease is generally considered indolent and benign in its clinical course.

Observation:

  • A patient with Kimura disease presented with life-threatening visceral venous thromboses, a condition termed 'thrombotic storm'.
  • Extensive evaluation excluded inherited thrombophilia and other acquired causes of visceral venous thromboembolism.

Findings:

  • The patient experienced a major thrombotic event despite no identifiable thrombophilia.
  • Continuous warfarin therapy over four years prevented recurrent thrombotic events, even with persistent eosinophilia and Kimura disease manifestations.

Implications:

  • This case suggests a potential link between Kimura disease and hypercoagulability, challenging the notion of its benign course.
  • Highlights the importance of considering hypercoagulability in patients with Kimura disease and thrombotic events.
  • Suggests anticoagulation as a potential management strategy for thrombotic complications in Kimura disease.