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Successful replantation of 2 digits in a patient with thrombocytosis after splenectomy: A case report.

Abstract Thrombosis is the most common complication of thrombocytosis, which can be particularly damaging to reattached digits. We present a guideline about digital replantation when thrombocytosis is expected.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29851840
OWN - NLM
STAT- MEDLINE
DCOM- 20180612
LR  - 20180612
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - Successful replantation of 2 digits in a patient with thrombocytosis after
      splenectomy: A case report.
PG  - e10951
LID - 10.1097/MD.0000000000010951 [doi]
AB  - INTRODUCTION: Thrombosis is the most common complication of thrombocytosis, which
      can be particularly damaging to reattached digits. We present a guideline about
      digital replantation when thrombocytosis is expected. CASE PRESENTATION: We
      report a case of an 18-year-old man who sustained a traumatic amputation of two
      fingers and splenic rupture in a traffic accident. He underwent digital
      replantation the day after splenectomy when life-threatening conditions had been 
      managed. The platelet count increased to over 1,300,000/mm and post-splenectomy
      reactive thrombocytosis was diagnosed. Hydroxyurea and anagrelide were
      administered to control the platelet count after consultation with a
      hematologist. The reattached fingers survived without any complication.
      CONCLUSION: In patients with digital amputation, replantation can be attempted,
      even when thrombocytosis is expected, when requested by the patient. Furthermore,
      the platelet count should be actively controlled with medication to improve the
      survival rate of the reattached finger.
FAU - Hwang, Jae Ha
AU  - Hwang JH
FAU - Kim, Dong Wan
AU  - Kim DW
FAU - Kim, Kwang Seog
AU  - Kim KS
FAU - Lee, Sam Yong
AU  - Lee SY
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Quinazolines)
RN  - K9X45X0051 (anagrelide)
RN  - X6Q56QN5QC (Hydroxyurea)
SB  - AIM
SB  - IM
MH  - Adolescent
MH  - Amputation, Traumatic/*surgery
MH  - Finger Injuries/*surgery
MH  - Fingers/surgery
MH  - Humans
MH  - Hydroxyurea/therapeutic use
MH  - Male
MH  - Platelet Count
MH  - Quinazolines/therapeutic use
MH  - Replantation/*methods
MH  - Splenectomy/*adverse effects
MH  - Splenic Rupture/surgery
MH  - Thrombocytosis/drug therapy/*etiology
EDAT- 2018/06/01 06:00
MHDA- 2018/06/13 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/13 06:00 [medline]
AID - 10.1097/MD.0000000000010951 [doi]
AID - 00005792-201806010-00068 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10951. doi: 10.1097/MD.0000000000010951.