Disseminated Intravascular Coagulation
(DIC; Consumption Coagulopathy; Defibrination Syndrome)
by Patricia Griffin Kellicker, BSN
Disseminated intravascular coagulation (DIC) is a problem with how your blood clots. DIC causes blood clots to form in small blood vessels. These clots can slow or block the flow of blood through these vessels. The organs and tissue that rely on this blood flow can then be damaged.
Blood clots are made of platelets and clotting factors. The blood clots caused by DIC decrease the body's platelets and clotting factor. This could lead to bleeding in other areas of the body.
DIC may be acute or chronic. Acute DIC develops over a few hours or days. I can quickly lead to bleeding problems. Chronic DIC can develop over months. It is most often caused by cancer. Chronic DIC develops blood clots but rarely leads to bleeding problems. DIC is a life-threatening condition that must be treated right away.
DIC is caused by other medical conditions or injuries. The trauma or inflammation caused by these conditions stimulates changes in the blood clotting process.
DIC can also be caused by toxin from a poisonous snakes but this cause is rare.
Risk Factors TOP
Factors that may increase your chance of DIC include:
Symptoms of DIC can vary because the blood clots can occur throughout the body. Clots in the:
Bleeding is often the first sign in acute DIC. Signs of bleeding include:
If you have bleeding that does not stop or unexplained bleeding get emergency care.
Your doctor will ask about symptoms and medical history. Blood test will also be done to look for abnormal levels of clotting factors and platelets.
The underlying cause of DIC will need to be identified and treated. These treatments will vary by conditions.
To help manage the DIC itself your doctor may recommend:
Prompt treatment for any of the conditions associated with DIC may reduce your risk for DIC.
American Medical Association
National Heart, Lung, and Blood Institute
Disseminated intravascular coagulation (DIC). National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/dic/ . Updated November 2, 2011. Accessed April 10, 2013.
Disseminated intravascular coagulation (DIC). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated February 13, 2013. Accessed March 4, 2013.
Karnik L, Murray J. Anticoagulation in the trauma patient. Trauma . 2005;7:63-68.
Last reviewed April 2013 by Michael Woods, MD
Last Updated: 3/18/2013