Unexpected Heparin-Induced Thrombocytopenia While Bridging —Reply

In Reply We thank Uzoigwe et al for their reply to our recent Teachable Moment. In the clinical case described, the patient ’s platelet count was 358 000/uL, and he did not exhibit any arterial or venous thromboses. Thus, there was low suspicion for heparin-induced thrombocytopenia (HIT), and workup for this condition was not pursued. Additionally, bleeding due to HIT is thought to be rare. However, we appreciate the reminder to remain mindful of the possibility of HIT in the appropriate clinical context for patients receiving heparin therapy.
Source: JAMA Internal Medicine - Category: Internal Medicine Source Type: research