Disseminated intravascular coagulation and a negative D-dimer test.
Alina Constantinescu, Paul B. Berendes, M-D Levin
Abstract
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Alina Constantinescu, Paul B. Berendes, M-D Levin
Abstract
Open-access reader
The diagnosis of disseminated intravascular coagulation (DIC) requires the presence of a fibrin-related marker. D-dimer is frequently used in clinical practice as a fibrin-related marker. We present a case of paraneoplastic DIC with a false-negative D-dimer test. Repeating the test using a different D-dimer assay as well as the measurement of other fibrinolysis markers confirmed the diagnosis of DIC.
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The diagnosis of disseminated intravascular coagulation (DIC) requires the presence of a fibrin-related marker. D-dimer is frequently used in clinical practice as a fibrin-related marker. We present a case of paraneoplastic DIC with a false-negative D-dimer test. Repeating the test using a different D-dimer assay as well as the measurement of other fibrinolysis markers confirmed the diagnosis of DIC.
Key concepts: D-dimer, Disseminated intravascular coagulation, Medicine, Fibrinolysis, Fibrin, Coagulation, Pathology, Internal medicine