Abstract
Hemostasis is a complex problem. Endothelial cells, megakaryocytes and platelets, clotting factors, fibrinolysis components and their inhibitors are all intertwined in a system designed to rapidly seal off vessel damage without producing extensive clotting or occlusion. Normally, there is a delicate balance between the factors favoring hemostasis and those opposing it. If the hemostatic system is inappropriately activated, a thrombosis results. If on the other hand the system fails to function effectively, hemorrhage occurs. Since the skin is often the first site where hemorrhage is seen, dermatologists must have a basic understanding of hemostasis. We have deliberately simplified this chapter, leaving out rare disorders and only touching on the basic scientific aspects of platelet function, the coagulation cascade, and fibrinolysis.
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Braun-Falco, O., Plewig, G., Wolff, H.H., Burgdorf, W.H.C. (2000). Disorders of Hemostasis. In: Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97931-6_23
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