Case 147 – Update 3

Our 34 year-old female patient with VITT has responded well to plasma exchange, IVIg and anticoagulation and is now in neuro-rehabilitation with a normal FBC and is due to be discharged. The rehab medicine team wish to have your advice on:

  1. How long to continue anticoagulation for (she is on dabigatran 150mg BD)?
  2. Should she have the 2nd dose of her COVID vaccine?

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

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