Clopidogrel induced urticarial rash in a patient with left main stem percutaneous coronary intervention: management issues

Heart. 2004 Mar;90(3):e14. doi: 10.1136/hrt.2003.027367.

Abstract

Clopidogrel, an ideal treatment for prevention of subacute stent thrombosis, may not be feasible to use in every patient. Ticlopidine (plus aspirin) is a very good alternative, although the risks of life threatening neutropenia should mandate regular monitoring of blood counts. It is proposed that patients undergoing angioplasty and stenting should carry a warning card in an effort to make the public and general practitioners aware that antiplatelet treatment after angioplasty plays an important part in ensuring successful outcome.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary
  • Clopidogrel
  • Coronary Restenosis / prevention & control
  • Coronary Stenosis / therapy
  • Drug Eruptions / etiology*
  • Female
  • Humans
  • Platelet Aggregation Inhibitors / adverse effects*
  • Stents*
  • Ticlopidine / adverse effects*
  • Ticlopidine / analogs & derivatives*
  • Urticaria / chemically induced*

Substances

  • Platelet Aggregation Inhibitors
  • Clopidogrel
  • Ticlopidine