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Living with Heparin-induced thrombocytopenia

A reaction to the drug heparin that lowers platelets and can lead to blood clots.

Understanding Heparin-induced thrombocytopenia

Heparin-induced thrombocytopenia (HIT) is a reaction to the drug heparin that causes an unusually low platelet count.

It is usually an immune response, typically 4 to 10 days after heparin starts. GARD says up to 5% of people exposed to heparin may have it. Signs include a platelet drop of more than 50% or new blood clots during heparin treatment. It can lead to serious complications.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Low platelet count (thrombocytopenia)
  • Blood clot in a deep vein
  • Blood clot in an artery
  • Blood clot in a vein
  • Greater tendency to clot (hypercoagulability)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include autoimmune and inflammatory disease specialists and blood and bone marrow specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Blood and bone marrow specialists (hematologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Platelet Disorder Support Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How is HIT confirmed?
Which medicines should I avoid after HIT?
How should I tell other doctors about this reaction?

Quick facts

Symptoms usually startany time in life

GARD says HIT is an adverse reaction to the drug heparin, usually an immune response.

Blood

Also known as: hat; heparin induced thrombocytopenia; heparin-associated thrombocytopenia; heparin-induced thrombocytopenia (disease); heparin-induced thrombocytopenia type 2; hit

Patient organizations

Source: NIH GARD · Heparin-induced thrombocytopeniaGARD ID 2650 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Heparin-induced thrombocytopenia.

Explore the Heparin-induced thrombocytopenia blog

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Explore actively recruiting Heparin-induced thrombocytopenia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Heparin-induced thrombocytopenia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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