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Patient handout

Warfarin-induced skin necrosis (protein C/S deficiency unmasking)

PRODUCTION

1. Your condition

This handout is for warfarin-induced skin necrosis (protein c/s deficiency unmasking). Your care team identified this based on: painful erythematous indurated plaque on breast / thigh / buttock / abdomen on warfarin day 3-10 — pre-necrosis warning sign; stat recognition prevents extension.

Other reasons your team may use this plan: hemorrhagic bullae or full-thickness skin necrosis on warfarin days 3-10, areas with abundant subcutaneous fat — established wisn; emergent reversal; warfarin initiated without heparin or lmwh bridge or with high loading dose ≥10 mg/d in patient with known or suspected protein c / s deficiency; family history of warfarin-related skin necrosis or thrombophilia (protein c / s deficiency, factor v leiden) — high pre-test probability for wisn risk on first warfarin exposure.

2. Your medications

Take these medications exactly as prescribed. Do not stop or change a dose without talking to your provider.

MedicationStarting doseHowWhenWhat it does
phytonadione_vitamin_k15-10 mg IV slow infusion over 30 minIVone-time, may repeat once at 12-24h if INR persistently elevatedASH 2018 (PMID 30482764); ACCP 2021 (PMID 34352295) — restores protein C activity within 6-24h via new hepatic synthesis; IV preferred over PO for emergency due to predictable absorption; avoid IM (hematoma risk on AC); slow IV to avoid anaphylactoid reaction
fresh_frozen_plasma2-4 units (10-15 mL/kg) IVIVone-time, may repeat per clinical responseASH 2018; ACCP 2021 — FFP contains all coagulation factors INCLUDING protein C and protein S; immediate replacement bridges the kinetic gap until vitamin K-driven hepatic synthesis recovers; volume load consideration in HF / renal failure
four_factor_prothrombin_complex_concentrate25-50 IU/kg IV (per INR-based protocol; max 5000 IU)IVone-timeASH 2018; ACCP 2021 — 4F-PCC (Kcentra) contains factors II/VII/IX/X PLUS protein C and protein S; rapid reversal of warfarin (faster than FFP); volume-sparing (preferred if HF / renal failure); thrombotic risk manageable in WISN context where reversal is the priority
unfractionated_heparin80 U/kg IV bolus then 18 U/kg/h titrated to aPTT 1.5-2.5× baselineIVcontinuous infusionASH 2018; ACCP 2021 — therapeutic UFH is the bridge AC during warfarin reversal in WISN; heparin/LMWH does not depend on protein C and provides immediate AC; avoid if any HIT history or concurrent thrombocytopenia (separate workup needed)
enoxaparin1 mg/kg SC q12h (or 1.5 mg/kg SC daily); renal-adjusted to 1 mg/kg SC daily if CrCl <30SCq12hASH 2018; ACCP 2021 — LMWH alternative bridge AC; convenient outpatient transition; renal-adjust if CrCl <30; avoid if HIT history
fondaparinux7.5 mg SC daily (5 mg if <50 kg; 10 mg if >100 kg)SCdailyASH 2018 — fondaparinux alternative bridge AC if heparin / LMWH contraindicated (HIT history); does not cross-react with HIT antibodies; avoid CrCl <30; no antidote
apixaban10 mg PO BID × 7 d → 5 mg PO BID (or 2.5 mg BID per FDA dose-reduction criteria)POBID indefinite or per VTE duration planASH 2018; ACCP 2021 — DOAC of first choice for long-term AC in protein C / S deficiency to AVOID lifetime warfarin re-challenge; AMPLIFY (Agnelli NEJM 2013 PMID 23808982); preferred over warfarin to eliminate WISN recurrence risk
rivaroxaban15 mg PO BID × 21 d → 20 mg PO daily with food (15 mg if CrCl 15-50)POBID then daily indefiniteASH 2018; ACCP 2021 — alternative DOAC for long-term AC; EINSTEIN-DVT (Bauersachs NEJM 2010 PMID 21128814)
protein_c_concentrate_ceprotin60-80 IU/kg IV initially then 45 IU/kg q6h to maintain protein C activity ≥25%IVq6h initiallyASH 2018; rare use case — protein C concentrate (Ceprotin) for severe homozygous protein C deficiency or severe acquired depletion with extensive necrosis; available only at specialized hemophilia centers

Plan: WISN — STOP warfarin, reverse with vitamin K + FFP/4F-PCC, bridge with heparin/LMWH/fondaparinux, transition to DOAC long-term, lifelong warfarin avoidance (ASH 2018; ACCP 2021)

3. When to call your provider

Contact your care team if any of the following happen:

  • New VTE despite DOAC → reassess adherence + consider switch (apixaban ↔ rivaroxaban) + reinvestigate thrombophilia
  • Inadvertent warfarin re-exposure → STAT INR + clinical observation + reinforce avoidance
  • Pregnancy → switch to LMWH (DOAC and warfarin both contraindicated; LMWH preferred per ASH 2018 pregnancy)
  • Major bleed → reverse (andexanet alfa for apixaban / rivaroxaban — Connolly NEJM 2019 PMID 30730782; or PCC), hold, reassess indefinite indication

4. When to seek emergency care

Call 911 or go to the nearest emergency room right away if you have:

  • WISN with extensive full-thickness necrosis on breast / thigh / buttock / abdomen / limb requiring surgical debridement, skin grafting, or rare amputation; mortality 15-30% if delayed recognition(life-threatening)
  • Thrombophilia workup confirms protein C or protein S deficiency (or both) — lifelong warfarin avoidance mandated; transition to DOAC for long-term AC; cascade family screening initiated
  • WISN occurs in patient subsequently diagnosed with antiphospholipid syndrome (APS) — paradox because warfarin INR 2-3 is the standard AC for APS but precipitated WISN; triple-positive APS especially complicated (TRAPS Pengo Blood 2018 — DOAC inferior for triple-positive APS)
  • WISN occurs in warfarin-naive patient given high loading dose (≥10 mg/d) without heparin or LMWH bridge — modifiable preventive errors; SYSTEM-LEVEL root cause analysis warranted

5. Follow-up

Hematology long-term follow-up; thrombophilia results review at 4 weeks; ≥3 mo AC for VTE indication (longer if ongoing risk); LIFELONG warfarin avoidance education with medical alert bracelet and EHR allergy banner; cascade family screening for protein C / S deficiency; pregnancy planning if applicable (DOAC contraindicated in pregnancy → LMWH for VTE in pregnancy with protein C / S deficiency)

6. Sources

Guideline: ASH 2018 Thrombophilia Guideline (Bates) + ACCP/CHEST 2021 (Stevens) for VTE treatment + ACCP 2016 (Kearon) for warfarin overlap principles

  1. pubmed.ncbi.nlm.nih.gov/30482764
  2. pubmed.ncbi.nlm.nih.gov/34352295
  3. pubmed.ncbi.nlm.nih.gov/33007077