Challenging anticoagulation cases: A case of heparin-induced-thrombocytopenia in the first trimester of pregnancy.

Abstract

Heparin-induced thrombocytopenia in pregnancy is an uncommon phenomenon which rarely occurs in the first trimester. Therapeutic options and duration of therapeutic anticoagulation are varied amongst reported published cases. We report a 41-year-old female with confirmed HIT following anticoagulation with dalteparin for deep vein thrombosis (DVT). She was treated with therapeutic fondaparinux for 3 months followed by prophylaxis dosage until delivery and for 6 weeks thereafter. A review of reported cases of the development of HIT in the first trimester and subsequent clinical management is discussed.

• Authors: Catherine Anne Lovatt, Mark A Crowther
• Journal: Thrombosis research (Thromb Res) Vol. 207 Pg. 58-61 (Sep 14 2021) ISSN: 1879-2472 [Electronic] United States
• PMID: 34547613 (Publication Type: Journal Article)
• Copyright: Copyright © 2021 Elsevier Ltd. All rights reserved.