Description

      Warfarin induced skin necrosis is a rare condition which occurs in patients with Prot C, Prot S deficiency when they are exposed to Vit K antagonist without overlapping the same with Heparin. Our patient had unprovoked deep vein thrombosis of Right lower limb in background of being in follow up for palmoplantar psoriasis for 2 years. He had received warfarin without being on heparin. He presented to us with extensive necrosis of the Right Lower Limb on D-5 of warfarin therapy. The necrosis subsided on stopping warfarin and starting him of low molecular weight heparin.