Pendekatan diagnosis hematoma kulit spontan terkadang dapat menyulitkan. Hematoma kulit merupakan kondisi ketika terjadi ruptur pembuluh darah di bawah kulit, sehingga darah masuk ke jaringan subkutan dan menghasilkan warna biru kehitaman pada permukaan kulit.
Hematoma umumnya terjadi akibat trauma, tetapi hematoma kulit juga dapat terjadi secara spontan. Pada kondisi tersebut, perlu dipertimbangkan adanya gangguan faktor pembekuan darah maupun gangguan pada pembuluh darah.[1,2]
Beberapa penyakit yang dapat menyebabkan terjadinya hematoma kulit spontan berdasarkan yang paling sering ditemui di antaranya yaitu koagulopati iatrogenik, hemophilia, trombositopenik purpura, disseminated intravascular coagulation (DIC), Henoch Schonlein purpura (HSP), purpura senilis, dan inhibitor koagulasi.[1]
(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)
Referensi
1. American Family Physician. Spontaneous Hematomas. Am Fam Physician. 2013 Mar 1;87(5):371-372.
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12. Medscape. Immune thrombocytopenia purpura (ITP) in emergency medicine. 2021. https://emedicine.medscape.com/article/779545-overview
13. Medscape. Disseminated intravascular coagulation. 2022. https://emedicine.medscape.com/article/199627-overview
14. Medscape. Henoch-Schonlein Purpura. 2021. https://emedicine.medscape.com/article/984105-overview
15. Harrison TR. Harrison's Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill; 2005:680.
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19. Crader MF, Johns T, Arnold JK. Warfarin Drug Interactions. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK441964/
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