RT Journal Article
SR Electronic
T1 Disseminated intravascular coagulation and the Waterhouse-Friderichsen syndrome
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 680
OP 685
DO 10.1136/adc.46.249.680
VO 46
IS 249
A1 B. Fox
YR 1971
UL http://adc.bmj.com/content/46/249/680.abstract
AB In a clinico-pathological study of 13 children who died with Waterhouse-Friderichsen syndrome, there were deposits of fibrin in many organs, especially the adrenal glands and the kidneys. This finding supports the hypothesis that disseminated intravascular coagulation (DIC) occurs in this syndrome. The exact role that DIC plays has not been defined; though it probably contributes to the severe shock and the widespread haemorrhages; the adrenal haemorrhages appear not to be due directly to DIC. The presence of DIC in the Waterhouse-Friderichsen syndrome suggests that heparin should be a logical form of treatment.