{"id":81,"date":"2010-04-15T16:28:20","date_gmt":"2010-04-15T16:28:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/case-reports\/?p=81"},"modified":"2010-04-15T16:28:20","modified_gmt":"2010-04-15T16:28:20","slug":"supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/case-reports\/2010\/04\/15\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\/","title":{"rendered":"Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease"},"content":{"rendered":"<p>This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case all the more interesting.<\/p>\n<p><a href=\"http:\/\/casereports.bmj.com\/content\/2009\/bcr.10.2008.1067.full?sid=1e8786ec-3b0a-41ac-819c-f1521073ffb8\">Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2010\/04\/15\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[203],"tags":[],"class_list":["post-81","post","type-post","status-publish","format-standard","hentry","category-editors-choice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease  - BMJ Case Reports blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/case-reports\/2010\/04\/15\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease  - BMJ Case Reports blog\" \/>\n<meta property=\"og:description\" content=\"This case describes a patient with a complex medical history and unstable INR on warfarin. The authors describe the likely cause of the instability and demonstrate the use of oral supplementation with Vitamin K. We have all experienced patients with unstable INR (admittedly not usually as complex as this patient) and that makes this case [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/case-reports\/2010\/04\/15\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\/\" \/>\n<meta property=\"og:site_name\" content=\"BMJ Case Reports blog\" \/>\n<meta property=\"article:published_time\" content=\"2010-04-15T16:28:20+00:00\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease\",\"datePublished\":\"2010-04-15T16:28:20+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/\"},\"wordCount\":103,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/#organization\"},\"articleSection\":[\"Editors choice\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/case-reports\\\/2010\\\/04\\\/15\\\/supplemental-vitamin-k-improves-the-stability-of-anticoagulation-in-a-patient-with-low-tissue-stores-of-vitamin-k-secondary-to-coeliac-disease\\\/\",\"name\":\"Supplemental vitamin K improves the stability of anticoagulation in a patient with low tissue stores of vitamin K secondary to coeliac disease - 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