Coagulation disorders and their cutaneous presentations: Pathophysiology

J Am Acad Dermatol. 2016 May;74(5):783-92; quiz 793-4. doi: 10.1016/j.jaad.2015.08.072.

Abstract

Hypercoagulable states are inherited or acquired predispositions to venous or arterial thromboses that are best understood in the context of the coagulation cascade. Dermatologists can play a critical role in diagnosing and treating patients with hypercoagulable states because cutaneous symptoms may be a presenting manifestation, thereby reducing morbidity and mortality related to these conditions. This review focuses on the epidemiology and pathophysiology of hypercoagulable states, while the accompanying article iterates the basic clinical features, diagnostic testing, and management of patients who have these conditions.

Keywords: antiphospholipid syndrome; antithrombin; coagulation cascade; cryoglobulinemia; factor V Leiden; hypercoagulable state; hyperhomocysteinemia; protein C; protein S; prothrombin; sickle cell disease.

Publication types

  • Review

MeSH terms

  • Anemia, Sickle Cell / diagnosis*
  • Anemia, Sickle Cell / physiopathology
  • Antiphospholipid Syndrome / diagnosis*
  • Antiphospholipid Syndrome / physiopathology
  • Blood Coagulation Disorders / diagnosis*
  • Blood Coagulation Disorders / physiopathology
  • Diagnosis, Differential
  • Education, Medical, Continuing
  • Female
  • Humans
  • Male
  • Severity of Illness Index
  • Skin Diseases, Vascular / diagnosis*
  • Skin Diseases, Vascular / physiopathology
  • Thrombophilia / diagnosis*
  • Thrombophilia / physiopathology
  • Thrombosis / diagnosis
  • Thrombosis / physiopathology