A hematoma organized on the back of hand with skin necrosis after puncture in anticoagulated patient.

A hematoma organized on the back of hand with skin necrosis after puncture in anticoagulated patient.

This patient suffered from a medication-induced coagulopathy. Patients typically receive these medications for chronic antithrombotic therapy in the prevention of thrombosis that can lead to stroke or myocardial ischemia, thromboprophylaxis following surgery, or treatment of acute thromboembolism or coronary syndrome. The intensity and duration of anticoagulation affect the risk of spontaneous, as well as procedural-related bleeding complications and hematoma formation.

Photo by : @cpmantrana