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Anticoagulant therapy in pediatrics.
[heparin-induced thrombocytopenia]
Thromboembolic
episodes
are
disorders
encountered
in
both
children
and
adults
,
but
relatively
more
common
in
adults
.
However
,
the
occurrence
of
venous
thromboembolism
and
use
of
anticoagulants
in
pediatrics
are
increasing
.
Unfractionated
Heparin
(
UH
)
is
used
as
a
treatment
and
prevention
of
thrombosis
in
adults
and
critically
ill
children
.
Heparin
utilization
in
pediatric
is
limited
by
many
factors
and
the
most
important
ones
are
Heparin
Induced
Thrombocytopenia
(
HIT
)
and
anaphylaxis
.
However
,
Low
Molecular
Weight
Heparin
(
LMWH
)
appears
to
be
an
effective
and
safe
alternative
treatment
.
Hence
,
it
is
preferred
over
than
UH
due
to
favorable
pharmacokinetic
and
side
effect
profile
.
Direct
Thrombin
Inhibitors
(
DTI
)
is
a
promising
class
over
the
other
anticoagulants
since
it
offers
potential
advantages
.
The
aim
of
this
review
is
to
discuss
the
differences
between
adult
and
pediatric
thromboembolism
and
to
review
the
current
anticoagulants
in
terms
of
pharmacological
action
,
doses
,
drug
reactions
,
pharmacokinetics
,
interactions
,
and
parameters
.
This
review
also
highlights
the
differences
between
old
and
new
anticoagulant
therapy
in
pediatrics
.
Diseases
Validation
Diseases presenting
"favorable pharmacokinetic"
symptom
heparin-induced thrombocytopenia
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