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MAJ Carroll M. Martin, MC; MAJ Paul F. Engstrom, MC; COL O'Neill Barrett, Jr., MC

JAMA. 1970;212(3):475-476.

Abstract
Initial coagulation studies performed on a patient with an apparently spontaneous hemorrhagic diathesis revealed only mild abnormalities, which rapidly cleared without therapy. When bleeding recurred, a second series of coagulation studies revealed a circulating anticoagulant which was neutralized by protamine sulfate. Subsequently the patient admitted to surreptitious selfadministration of large doses of heparin sodium.

Author Affiliations
USA; USA; USA

From the Department of Medicine, US Army Tripler General Hospital, Honolulu.

Footnotes
Reprint requests to US Army Tripler General Hospital, APO San Francisco 96438 (Dr. Barrett).

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