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First published on December 26, 2007
Clinical and Applied Thrombosis/Hemostasis 2007, doi:10.1177/1076029607308874
© 2007 SAGE Publications

Article

Pericardial Hemorrhage Due to Acetylsalicylic Acid in a Patient With Essential Thrombocythemia

Mehmet Kayrak, MD, Kadir Acar, MD, Mehmet Yazici, MD, Coskun Kaya, MD, S. Selim Ayhan, MD*, and Hasan Gok, MD, PhD

Selcuk University

* To whom correspondence should be addressed. E-mail: drayhan58{at}hotmail.com.


   Abstract
Essential thrombocythemia is a clonal myeloproliferative disorder that causes thrombocytosis. Essential thrombocythemia is characterized by increased incidence of thrombosis with arterial event more than venous events and hemorrhagic complications. Acetylsalicylic acid enhances both minor and major bleedings. The authors describe pericardial hemorrhage, which is related to the use of low-dose acetylsalicylic acid in a patient with essential thrombocythemia. The patient was successfully managed with clopidogrel therapy during the 16 months follow-up without recurrent thrombotic or hemorrhagic events.


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