Author/Authors :
Dizdar, Oğuzhan Sıtkı uludağ university - Faculty of Medicine - department of internal medicine, Turkey , Özkocaman, Vildan uludağ university - Faculty of Medicine - department of hematology, Turkey , Şahbazlar, Mustafa uludağ university - Faculty of Medicine - department of internal medicine, Turkey , Pesen, Ercan uludağ university - Faculty of Medicine - department of internal medicine, Turkey , Kurt, Ender uludağ university - Faculty of Medicine - department of medical oncology, Turkey , Özkalemkaş, Fahir uludağ university - Faculty of Medicine - department of hematology, Turkey , Ali, Rıdvan uludağ university - Faculty of Medicine - department of hematology, Turkey , Tunalı, Ahmet uludağ university - Faculty of Medicine - department of hematology, Turkey
Abstract :
Disseminated intravascular coagulation, acquired hemophilia, and hyperfbrinolysis induced by prostate adenocarcinoma were frst considered in the differential diagnosis of a patient who had been diagnosed with prostate adenocarcinoma and complicated with hemorrhage. Clinical progression and lack of response to other treatments directed us toward the diagnosis of hyperfbrinolysis and tranexamic acid therapy was initiated. Clinical and laboratory findings resulted in a partial improvement,but the response was insufficient. This situation was associated with metastasis and not initiating the treatment for the primary disease. This case was presented to emphasize the importance of treatment arrangement on the basis of differential diagnosis for hemorrhagic diathesis occurring in the clinical course of prostate adenocarcinoma.
