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Heparin-induced thrombocytopenia in haemodialysis treated with argatroban

Luis Quiñones-Ortiz, Ana Suárez-Laurés, Montserrat Pablos-de Pablo

    Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia
    |July 19, 2014
    PubMed

    We present the case of a patient diagnosed with likely immune heparin-induced thrombocytopenia (HIT II) based on clinical criteria and a positive ELISA test, in which emergency treatment was crucial, given the seriousness of the process. The discontinuation of heparin and administration of argatroban resolved inefficiency of dialysis resulting from repeated coagulation of the circuit and catheter, allowing peritoneal dialysis without further setbacks. We consider decision-making to be a priority before certifying diagnostic confidence.

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