{"id":18855,"date":"2020-11-25T02:01:04","date_gmt":"2020-11-25T02:01:04","guid":{"rendered":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/"},"modified":"2026-03-10T16:14:38","modified_gmt":"2026-03-10T16:14:38","slug":"pathologie-van-warfarine-necrose","status":"publish","type":"glossary","link":"https:\/\/dermatly.com\/nl\/patologia-de-la-necrosis-por-warfarina\/","title":{"rendered":"Pathologie van warfarinenecrose"},"content":{"rendered":"<p>\u00ab`html<\/p>\n<section class=\"textBlock\">\n<h1>Warfarina Necrosis: Entendiendo la Coagulaci\u00f3n Paradoxal<\/h1>\n<p>La **necrosis por warfarina** es una rara complicaci\u00f3n parad\u00f3jica en pacientes bajo terapia anticoagulante con warfarina. Se presenta en aproximadamente uno de cada 10,000 pacientes a quienes se les prescribe este medicamento, marcando una respuesta adversa inesperada.<\/p>\n<h2>Histopatolog\u00eda de la Necrosis Inducida por Warfarina<\/h2>\n<p>El an\u00e1lisis histol\u00f3gico de la necrosis por warfarina revela grados variables de da\u00f1o necr\u00f3tico tanto en la epidermis como en la dermis (Figura 1). Se observan extensos trombos intravasculares dentro de los capilares y v\u00e9nulas (Figuras 2 y 3). Los vasos permeables restantes se encuentran dilatados, reflejando la obstrucci\u00f3n microvascular.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h3 class=\"colour--primary\">Hallazgos Patol\u00f3gicos de la Necrosis por Warfarina<\/h3>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<figure>\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Microfotograf\u00eda que muestra da\u00f1o epid\u00e9rmico y d\u00e9rmico caracter\u00edstico de la necrosis por warfarina (Figura 1).\"><figcaption>\n<p class=\"p-small\">Figura 1<\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<div class=\"imageLinkBlock__item__image\">\n<figure>\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Vista ampliada de trombo intravascular en capilares asociada a necrosis por warfarina (Figura 2).\"><figcaption>\n<p class=\"p-small\">Figura 2<\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<div class=\"imageLinkBlock__item__image\">\n<figure>\n                    <img decoding=\"async\" src=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd.jpg\" alt=\"Detalle de v\u00e9nulas afectadas por trombosis en el contexto de necrosis por warfarina (Figura 3).\"><figcaption>\n<p class=\"p-small\">figura 3<\/p>\n<\/figcaption><\/figure>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2>Evaluaci\u00f3n Diagn\u00f3stica de la Necrosis por Warfarina<\/h2>\n<p>En la mayor\u00eda de los casos de sospecha de necrosis por warfarina, no se requieren estudios histol\u00f3gicos o de laboratorio especializados adicionales para confirmar el diagn\u00f3stico.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n                        <!-- \/340621630\/dermnet_mobile_afterfirstsection_300x250 --><\/p>\n<div style=\"display: none;\" id=\"hidden-div-gpt-ad-1484122037505-8\" class=\"[ js-hideable ]\"><\/div>\n<p><script>\n    if (ads_screenwidth < 780 ) {\n        var inline = document.createElement(\"div\");\n        var ad = document.createElement(\"div\");\n\n        ad.id = 'div-gpt-ad-1484122037505-8';\n        ad.style.height=\"250px\";\n        ad.style.width=\"300px;\";\n\n        inline.appendChild(ad);\n        inline.className = \"inline\";\n        var placeholder = document.getElementById(\"hidden-div-gpt-ad-1484122037505-8\");\n        placeholder.parentNode.replaceChild(inline, placeholder);\n        (function () {\n            googletag.cmd.push(function () {\n                googletag.display('div-gpt-ad-1484122037505-8');\n            });\n        })();\n    }\n<\/script>\n                    <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<h2>Diagn\u00f3stico Diferencial de la Reacci\u00f3n por Warfarina<\/h2>\n<p>El diagn\u00f3stico diferencial de la necrosis por warfarina requiere distinguir esta entidad de otras patolog\u00edas cut\u00e1neas tromb\u00f3ticas. Es crucial diferenciarla de la <a href=\"#\">coagulaci\u00f3n intravascular diseminada (CID)<\/a> o de cualquier otra <a href=\"#\">coagulopat\u00eda<\/a>, ya que morfol\u00f3gicamente pueden ser id\u00e9nticos. Por ello, la correlaci\u00f3n directa con la historia cl\u00ednica del paciente es fundamental.<\/p>\n<p>Asimismo, deben considerarse los <a href=\"#\">trombos s\u00e9pticos<\/a>. En estos casos, generalmente se identifica la presencia de neutr\u00f3filos y otras c\u00e9lulas inflamatorias. El uso de tinciones especiales para detectar microorganismos, junto con la correlaci\u00f3n con los resultados de hemocultivos, puede ser \u00fatil para establecer un diagn\u00f3stico definitivo y descartar una etiolog\u00eda infecciosa.<\/p>\n<\/section>\n<p>```<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00ab`html Warfarina Necrosis: Entendiendo la Coagulaci\u00f3n Paradoxal La **necrosis por warfarina** es una rara complicaci\u00f3n parad\u00f3jica en pacientes bajo terapia anticoagulante con warfarina. Se presenta en aproximadamente uno de cada 10,000 pacientes a quienes se les prescribe este medicamento, marcando una respuesta adversa inesperada. Histopatolog\u00eda de la Necrosis Inducida por Warfarina El an\u00e1lisis histol\u00f3gico de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18859,"parent":0,"template":"","glossary-cat":[],"class_list":["post-18855","glossary","type-glossary","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.2 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Patolog\u00eda de la necrosis por warfarina - Dermatly.com - El sitio de tu piel<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dermatly.com\/nl\/pathologie-van-warfarine-necrose\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Patolog\u00eda de la necrosis por warfarina\" \/>\n<meta property=\"og:description\" content=\"\u00ab`html Warfarina Necrosis: Entendiendo la Coagulaci\u00f3n Paradoxal La **necrosis por warfarina** es una rara complicaci\u00f3n parad\u00f3jica en pacientes bajo terapia anticoagulante con warfarina. Se presenta en aproximadamente uno de cada 10,000 pacientes a quienes se les prescribe este medicamento, marcando una respuesta adversa inesperada. Histopatolog\u00eda de la Necrosis Inducida por Warfarina El an\u00e1lisis histol\u00f3gico de [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dermatly.com\/nl\/pathologie-van-warfarine-necrose\/\" \/>\n<meta property=\"og:site_name\" content=\"Dermatly.com - El sitio de tu piel\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-10T16:14:38+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"294\" \/>\n\t<meta property=\"og:image:height\" content=\"222\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuut\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/\",\"url\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/\",\"name\":\"Patolog\u00eda de la necrosis por warfarina - Dermatly.com - El sitio de tu piel\",\"isPartOf\":{\"@id\":\"https:\/\/dermatly.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg\",\"datePublished\":\"2020-11-25T02:01:04+00:00\",\"dateModified\":\"2026-03-10T16:14:38+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#breadcrumb\"},\"inLanguage\":\"nl-NL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage\",\"url\":\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg\",\"contentUrl\":\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg\",\"width\":294,\"height\":222,\"caption\":\"warfarin-necrosis-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4926380-9482585-jpg-2233270\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/dermatly.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Glossary\",\"item\":\"https:\/\/dermatly.com\/glossary\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Patolog\u00eda de la necrosis por warfarina\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/dermatly.com\/#website\",\"url\":\"https:\/\/dermatly.com\/\",\"name\":\"Dermatly.com - El sitio de tu piel\",\"description\":\"Dermatolog\u00eda y lesiones de la piel\",\"publisher\":{\"@id\":\"https:\/\/dermatly.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/dermatly.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"nl-NL\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/dermatly.com\/#organization\",\"name\":\"dermatly.com\",\"url\":\"https:\/\/dermatly.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"nl-NL\",\"@id\":\"https:\/\/dermatly.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/dermatly-logo.png\",\"contentUrl\":\"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/dermatly-logo.png\",\"width\":448,\"height\":110,\"caption\":\"dermatly.com\"},\"image\":{\"@id\":\"https:\/\/dermatly.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Warfarine-necrose pathologie - Dermatly.com - De site voor uw huid","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/dermatly.com\/nl\/pathologie-van-warfarine-necrose\/","og_locale":"nl_NL","og_type":"article","og_title":"Patolog\u00eda de la necrosis por warfarina","og_description":"\u00ab`html Warfarina Necrosis: Entendiendo la Coagulaci\u00f3n Paradoxal La **necrosis por warfarina** es una rara complicaci\u00f3n parad\u00f3jica en pacientes bajo terapia anticoagulante con warfarina. Se presenta en aproximadamente uno de cada 10,000 pacientes a quienes se les prescribe este medicamento, marcando una respuesta adversa inesperada. Histopatolog\u00eda de la Necrosis Inducida por Warfarina El an\u00e1lisis histol\u00f3gico de [&hellip;]","og_url":"https:\/\/dermatly.com\/nl\/pathologie-van-warfarine-necrose\/","og_site_name":"Dermatly.com - El sitio de tu piel","article_modified_time":"2026-03-10T16:14:38+00:00","og_image":[{"width":294,"height":222,"url":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Geschatte leestijd":"1 minuut"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/","url":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/","name":"Warfarine-necrose pathologie - Dermatly.com - De site voor uw huid","isPartOf":{"@id":"https:\/\/dermatly.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage"},"image":{"@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage"},"thumbnailUrl":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg","datePublished":"2020-11-25T02:01:04+00:00","dateModified":"2026-03-10T16:14:38+00:00","breadcrumb":{"@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#breadcrumb"},"inLanguage":"nl-NL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/"]}]},{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#primaryimage","url":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg","contentUrl":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/warfarin-necrosis-figure-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4926380.jpg","width":294,"height":222,"caption":"warfarin-necrosis-figure-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4926380-9482585-jpg-2233270"},{"@type":"BreadcrumbList","@id":"https:\/\/dermatly.com\/patologia-de-la-necrosis-por-warfarina\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/dermatly.com\/"},{"@type":"ListItem","position":2,"name":"Glossary","item":"https:\/\/dermatly.com\/glossary\/"},{"@type":"ListItem","position":3,"name":"Patolog\u00eda de la necrosis por warfarina"}]},{"@type":"WebSite","@id":"https:\/\/dermatly.com\/#website","url":"https:\/\/dermatly.com\/","name":"Dermatly.com - De website voor jouw huid","description":"Dermatologie en huidletsels","publisher":{"@id":"https:\/\/dermatly.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/dermatly.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"nl-NL"},{"@type":"Organization","@id":"https:\/\/dermatly.com\/#organization","name":"dermatly.com","url":"https:\/\/dermatly.com\/","logo":{"@type":"ImageObject","inLanguage":"nl-NL","@id":"https:\/\/dermatly.com\/#\/schema\/logo\/image\/","url":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/dermatly-logo.png","contentUrl":"https:\/\/dermatly.com\/wp-content\/uploads\/2020\/11\/dermatly-logo.png","width":448,"height":110,"caption":"dermatly.com"},"image":{"@id":"https:\/\/dermatly.com\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/glossary\/18855","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/glossary"}],"about":[{"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/types\/glossary"}],"author":[{"embeddable":true,"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":2,"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/glossary\/18855\/revisions"}],"predecessor-version":[{"id":24852,"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/glossary\/18855\/revisions\/24852"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/media\/18859"}],"wp:attachment":[{"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/media?parent=18855"}],"wp:term":[{"taxonomy":"glossary-cat","embeddable":true,"href":"https:\/\/dermatly.com\/nl\/wp-json\/wp\/v2\/glossary-cat?post=18855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}