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Disseminated intravascular coagulation (DIC)

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Contents of this page:

Illustrations

Blood clot formation
Blood clot formation
Meningococcemia on the calves
Meningococcemia on the calves
Meningococcemia on the leg
Meningococcemia on the leg
Meningococcemia associated purpura
Meningococcemia associated purpura
Blood clots
Blood clots

Alternative names    Return to top

Consumption coagulopathy

Definition    Return to top

DIC is a disorder of the "clotting cascade." It results in depletion of clotting factors in the blood.

Causes, incidence, and risk factors    Return to top

DIC is when your body's blood clotting mechanisms are activated throughout the body instead of being localized to an area of injury. Small blood clots form throughout the body, and eventually the blood clotting factors are used up and not available to form clots at sites of real tissue injury. Clot dissolving mechanisms are also increased.

This disorder has variable effects, and can result in either clotting symptoms or, more often, bleeding. Bleeding can be severe. DIC may be stimulated by many factors. These include infection in the blood by bacteria or fungus, severe tissue injury (as in burns and head injury), cancer, reactions to blood transfusions, and obstetrical complications (such as retained placenta after delivery).

Risk factors are recent sepsis, recent injury or trauma, recent surgery or anesthesia, complications of labor and delivery, leukemia or disseminated cancer, recent blood transfusion reaction, and severe liver disease.

Symptoms    Return to top

Signs and tests    Return to top

Treatment    Return to top

The goal is to determine the underlying cause of DIC and provide treatment for that.

Replacement therapy of the coagulation factors is achieved by transfusion of fresh frozen plasma. Cryoprecipitates may also be used if fibrinogen is significantly low. Heparin, a medication used to prevent thrombosis, is sometimes used in combination with replacement therapy.

Expectations (prognosis)    Return to top

The underlying disease that causes the disorder will usually predict the probable outcome.

Complications    Return to top

Calling your health care provider    Return to top

Go to the emergency room or call 911 if you have continued bleeding of unknown cause.

Prevention    Return to top

Get prompt treatment for conditions known to precipitate the disorder.

Update Date: 6/5/2003

Updated by: Ezra E. W. Cohen, M.D., Section of Hematology/Oncology, Department of Medicine, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.

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