ALVlN H. SCHMAIER, M.D.; JO-ANN CARABELLO, B.S.; H. JAMES DAY, M.D.; WILLIAM E. BARRY, M.D.
Nonmedicinal use of oral anticoagulants was first reported in the medical literature within 6 years after the introduction of these agents into clinical medicine (1). In general, two types of persons abuse these agents: young adults in medical professions and elderly patients previously treated with anticoagulants (1, 2). Most persons who have engaged in factitious anticoagulant use have done so with oral agents. One report described the surreptitious use of heparin, the diagnosis having been made on patient confession (3). We report the covert injection of heparin in another patient and the method used for objective diagnosis.
A 21-year-old female
SCHMAIER AH, CARABELLO J, DAY HJ, BARRY WE. Factitious Heparin Administration. Ann Intern Med. ;95:592–593. doi: 10.7326/0003-4819-95-5-592
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Published: Ann Intern Med. 1981;95(5):592-593.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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