The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Hematoma in the Lower Extremity Induced by Anti-platelet Agents (Astrix, Plavix)

항혈소판 응집 억제제(ASTRIX, PLAVIX) 복약 이후 하지 혈종 발생 사례 보고

  • Bae, Go-eun (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Cho, Jae-hyun (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jin-yong (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Shim, So-hyun (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Seo, Hee-jeong (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hong, Jin-woo (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, In (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kim, So-yeon (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Jun-young (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Han, Chang-woo (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yun, Young-ju (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Park, Seong-ha (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kwon, Jung-nam (Dept. of Internal Medicine, Pusan National University Korean Medicine Hospital)
  • 배고은 (부산대학교한방병원 한방내과) ;
  • 조재현 (부산대학교한방병원 한방내과) ;
  • 최진용 (부산대학교한방병원 한방내과) ;
  • 심소현 (부산대학교한방병원 한방내과) ;
  • 서희정 (부산대학교한방병원 한방내과) ;
  • 홍진우 (부산대학교한방병원 한방내과) ;
  • 이인 (부산대학교한방병원 한방내과) ;
  • 김소연 (부산대학교한방병원 한방내과) ;
  • 최준용 (부산대학교한방병원 한방내과) ;
  • 한창우 (부산대학교한방병원 한방내과) ;
  • 윤영주 (부산대학교한방병원 한방내과) ;
  • 박성하 (부산대학교한방병원 한방내과) ;
  • 권정남 (부산대학교한방병원 한방내과)
  • Received : 2017.09.08
  • Accepted : 2017.10.27
  • Published : 2017.10.30
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Abstract

Objective: Our aim was to report a case of hematoma in the lower extremity induced by anti-platelet agents (Astrix, Plavix). Methods: The patient was prescribed anti-platelet agents and a hematoma occurred three times in the lower extremity. Before admission, the hematoma had occurred in the lateral compartment area of left lower extremity ($2{\times}2cm$). We detected a spontaneous hematoma in the lateral compartment area of right lower extremity ($8{\times}4cm$) and we stopped the Astrix medication. We also used herbal medicine (大黃左經湯加味方 (Daehwangjwagyeong-tang-gami)), external therapy of 大黃梔子 (Dae-hwang-Chi-ja) powder, and wet cupping therapy. We then detected a spontaneous hematoma in the posterior compartment area of the left lower extremity ($5{\times}5cm$) and we stopped the Plavix medication. We also used herbal medicine and external therapy. Results: After cessation of the anti-platelet agents (Astrix, Plavix), no recurrence of hematoma was observed in lower extremity and there was no recurrence of cerebral infarction. Conclusions: When anti-platelet agents are administered, attention should be paid to the patient's age and adverse events of the drugs. Bleeding symptoms and adverse effects should be continuously monitored.

Keywords

References

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