Disseminated Intravascular Coagulopathy

  • Consumptive coagulopathy
  • May be initiated by:
    • Septicemic hypotension, hypoxemia, acidosis, malignancies, chemotherapy, OB crisis, antiphospholipid Abs, SLE and leukemia
    • Children with large kaposiform Hemangioendothelioma and tufted hemangioma (Kasabach-Meritt syndrome) at increased risk
  • Elevated PT/PTT, +D-Dimer, MAHA (shistocytes)
  • Treatment
    • Control of underlying disease
    • Vitamin K,FFP, platelet transfusions
    • Propranolol +/- corticosteroids