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D Vergoz

Publications and source records attributed to D Vergoz.

57 records · Page 4Linked to original sources

[Improper therapy in phlebology. Anticoagulants].

In phlebology, an anticoagulant treatment is usually called for in the fight against thrombosis. The favourable short-term development of most phlebites means that an anticoagulant treatment should not be used unless there are serious risks involved in the various complications observed. This treatment may therefore be used, on condition that diagnosis is certain, that the risks involved are serious enough; the least restrictive, least expensive form of treatment is preferable, provided that it is as effective, of course; the conditions of applications should be scrupulously upheld: no contraindications, the cooperation of the patient, quality of the biological controls etc. If these conditions are respected, the anticoagulant treatment combines efficiency and safety to a degree which places it foremost among anti-thrombotic methods, after physiotherapy.

Anticoagulants↗

[Familial recurrent phlebitis due to deficiency of antithrombin III. Apropos of a case].

The authors report the case of a young woman aged 29, mother of 2 children, presenting a post-phlebitic syndrome with hyperalgic capillaritic ulcer, a 10 year history of serious thrombophlebitic episodes with repeated pulmonary embolism despite heparin therapy, and reports of similar episodes in the family, some of which proved fatal. Haematological study showed a clear diminution in progressive antithrombin activity. A discussion follows on the clinical and haematological aspects of this constitutional and familial deficiency, which has been known since 1965 (Egelberg). The relative rarity of this condition should not prevent the routine search (by combined functional, immunological and chromogenic estimation) in the presence of repeated thrombosis, and when the thrombosis is biologically resistant to heparin : in such cases, the indication for long term treatment with vitamin K antagonists is undeniable.

Adult↗