{
  "abstract": "Warfarin-induced skin necrosis (WISN) is a rare but serious adverse effect of warfarin that typically occurs during the initial days of therapy. However, late-onset WISN, occurring months or years after stable anticoagulation, is an unusual and poorly understood phenomenon. Here, we present a case of WISN that had presented after 5 years of stable anticoagulation. This research highlights the significance of clinical suspicion, prompt intervention and customised anticoagulation methods for patients on warfarin therapy who present with unexplained necrotic skin lesions.",
  "authors": [
    {
      "affiliations": [
        "Deparment of Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Ramasamy P"
    },
    {
      "affiliations": [
        "Department of Preventive Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Rajendiran G"
    },
    {
      "affiliations": [
        "Deparment of Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Madhunisha V"
    },
    {
      "affiliations": [
        "Deparment of Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Madhusri M"
    },
    {
      "affiliations": [
        "Deparment of Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India"
      ],
      "name": "Monisha R"
    }
  ],
  "title": "Late-onset warfarin-induced skin necrosis in a long-term anticoagulated patient",
  "uid": "96e640f2-62fb-5b3a-b37e-fe926d5ca96f"
}