What the possible consequences of a missed diagnosis or misdiagnosis of heparin-induced thrombocytopenia (HIT)?

Updated: Sep 10, 2021
  • Author: Sancar Eke, MD, FASN; Chief Editor: Srikanth Nagalla, MD, MS, FACP  more...
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Diagnosis of heparin-induced thrombocytopenia (HIT) can be challenging, and both underdiagnosis and overdiagnosis pose potential dangers. Failure to diagnose HIT increases the risk of thrombosis, amputation, or death, while misdiagnosis can result in major hemorrhage (in thrombocytopenic patients treated with alternative anticoagulants) or thrombosis (if heparin treatment is suspended unnecessarily). [42] Consequently, pretest scoring systems have been devised to guide diagnosis of HIT.

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