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Correspondence
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Volume 336:588-589 February 20, 1997 Number 8
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Heparin-Induced Skin Necrosis

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by Christiaens, G.C.M. L.
To the Editor: In the September 5 Image in Clinical Medicine1 the appearance of the skin lesion described as heparin-induced skin necrosis is also compatible with a diagnosis of ecthyma gangrenosum. The authors do not state whether the heparin injected was sterile or whether cultures of aspirates from the skin lesion grew gram-negative organisms. This information would be useful for the differential diagnosis.


Richard V. McCloskey, M.D.
Centocor
Malvern, PA 19355-1307

References

  1. Christiaens GCML, Nieuwenhuis HK. Heparin-induced skin necrosis. N Engl J Med 1996;335:715-715. [Free Full Text]
 
To the Editor: With respect to the image of heparin-induced skin necrosis, the authors should have considered other causes, since the initial injections of heparin apparently did not result . . . [Full Text of this Article]

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