[Disseminated intravascular coagulation: clinical and biological diagnosis]

Aziz Touaoussa1, Hind El Youssi1, Imane El Hassani1

  • 1Laboratoire central d'analyses médicales, Service d'hématologie, CHU Hassan II, Fès, Maroc.

Insights

Disseminated intravascular coagulation (DIC) is a complex syndrome with variable presentation. Diagnostic scores, like the International Society of Thrombosis and Hemostasis (ISTH) score, aid in identifying DIC, especially in early stages.

Area of Science:

  • Hematology
  • Pathophysiology
  • Clinical diagnostics

Context:

  • Disseminated intravascular coagulation (DIC) presents complex pathophysiological mechanisms.
  • DIC's clinical and biological manifestations are highly variable.
  • Diagnosing overt and non-overt DIC is challenging due to non-specific biological markers.

Purpose:

  • To highlight the diagnostic challenges in Disseminated Intravascular Coagulation (DIC).
  • To emphasize the need for diagnostic tools that combine multiple parameters.
  • To introduce scoring systems for DIC diagnosis.

Summary:

  • DIC involves systemic blood coagulation activation with complex, variable mechanisms.
  • Most biological markers for DIC are non-specific, complicating diagnosis.
  • Diagnostic scoring systems, such as the ISTH score, are crucial for identifying DIC, particularly early stages.

Impact:

  • Improved diagnostic accuracy for overt and non-overt DIC.
  • Facilitates earlier treatment initiation, potentially improving patient prognosis.
  • Standardizes DIC assessment using the widely adopted ISTH score.

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