DIC represents a continuum in clinical-pathological severity, characterised by the increasing loss of localisation or compensated control in intravascular activation of coagulation.
Clinical Conditions Associated with Disseminated Intravascular Coagulation (DIC)
1. Sepsis/severe infection (any microorganism)
2. Trauma (e.g., polytrauma, neurotrauma, fat embolism)
3. Organ destruction (e.g., severe pancreatitis)
4. Malignancy
-
solid tumors
-
myeloproliferative/lymphoproliferative malignancies
5. Obstetrical calamities
-
amniotic fluid embolism
-
abruptio placentae
6. Vascular abnormalities
-
Kasabach-Merritt syndrome
-
large vascular aneurysms
7. Severe hepatic failure
8. Severe toxic or immunologic reactions
-
snake bites
-
recreational drugs
-
transfusion reactions
-
transplant rejection
References;
- Taylor FB Jr, Toh CH, Hoots WK, Wada H, Levi M; Scientific Subcommittee on Disseminated Intravascular Coagulation (DIC) of the International Society on Thrombosis and Haemostasis (ISTH). Towards definition, clinical and laboratory criteria, and a scoring system for disseminated intravascular coagulation. Thromb Haemost. 2001 Nov;86(5):1327-30. [Medline]
Created: Aug 04, 2005