Kasabach-Merritt症候群患者の抜歯経験

抄録

Kasabach-Merritt syndrome is a coagulation disorder associated with giant hemangioma and consumption coagulopathy.
Here we describe the procedure for hemostatic management for tooth extraction in a patient with Kasabach-Merritt syndrome.
A 22-year-old woman was referred to our clinic to have a tooth extracted.
Sixty mg/day of predonisolone p. o. and 10mg/h of nafamostat mesilate were given preoperatively, and 12ml (3V) of dried human antihemophilic factor XIII fraction was additionally administered just before extraction.
We conclude that tooth extraction in a patient with consumption coagulopathy can be performed safety by carefully correcting for any coagulation disorders.