rss
BMJ Case Reports 2013; doi:10.1136/bcr-2012-007455
  • CASE REPORT

Warfarin-induced skin necrosis diagnosed on clinical grounds and treated with maggot debridement therapy

  1. Alison Bedlow2
  1. 1Warwick Medical School, Warwick University, Coventry, UK
  2. 2Department of Dermatology, South Warwickshire NHS Foundation Trust, Warwick, UK
  1. Correspondence to Anna Louise Biscoe, A.Biscoe{at}warwick.ac.uk

Summary

A patient with a history of deep vein thrombosis presented with painful bruising and blistering on his left leg 7–10 days after warfarin treatment. A complicated 2-month treatment followed, where vasculitis was originally diagnosed from histological findings before the final diagnosis of warfarin-induced skin necrosis (WISN) was made on clinical grounds. Warfarin was stopped, reversed and low molecular weight heparin started but, the lesions had progressed to full thickness necrosis. This was originally treated with conventional surgical debridement before introducing maggot debridement therapy (MDT) in an effort to try to salvage the limb.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article