Commentary

[摘要] This is a classic case of a patient with a hemorrhagic presentation and an isolated prolonged activated partial thromboplastin time (aPTT).Lessons to be learned: 1. Don't blame the dabigatran. Although the patient had discontinued anticoagulation therapy 5 days prior, his prolonged aPTT value was erroneously attributed to dabigatran. If there is concern about dabigatran presence, a thrombin time (TT), which is very sensitive to the presence of direct thrombin inhibitors, can be performed to avoid the delay in appropriate evaluation.2. Do a mixing study. …

[学科分类] 过敏症与临床免疫学