{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T22:42:48Z","timestamp":1794004968621,"version":"4.8.0"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Hypnale hypnale is a small pit viper that is known as the hump-nosed pit viper (HNV) or \u2018Merrem's hump-nosed pit viper\u2019 and is endemic to Sri Lanka and the Western Ghats of South India. Previously, it was thought that this viper bite would result in mild systemic or local envenomation, however, we now know that HNV bites could cause severe systemic toxicity and mortality. The most common systemic toxicity of this viper envenomation is coagulopathy, which is known as \u2018Hypnale coagulopathy'. Hypnale coagulopathy is quite different from the haemotoxicity caused by other vipers. In this paper, an effort has been made to discuss the unique and unpredictable nature of this coagulopathy due to Hypnale envenomation.<\/jats:p>","DOI":"10.4997\/jrcpe.2021.108","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T15:26:09Z","timestamp":1620833169000},"page":"31-36","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["<i>Hypnale<\/i>\n                    Coagulopathy: Snake Envenomation of a Different Kind"],"prefix":"10.1177","volume":"51","author":[{"given":"Bolar Sadananda","family":"Naik","sequence":"first","affiliation":[{"name":"Senior Physician, Alva's Health Centre, Moodabidri, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,1]]},"reference":[{"key":"bibr1-jrcpe.2021.108","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0007059"},{"key":"bibr2-jrcpe.2021.108","first-page":"1","volume":"2232","author":"Maduwage K","year":"2009","journal-title":"(Squamata:Viperidae:Hypnale). 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Biochemical characterization of snake venoms. In: Gopalakrishnakone P, Tan CK, editors.Recent Advances in Toxinology Research Singapore: Venom & Toxin Research Group; 1992. pp.210\u201359."},{"key":"bibr13-jrcpe.2021.108","doi-asserted-by":"publisher","DOI":"10.1590\/S1678-91992011000400015"},{"key":"bibr14-jrcpe.2021.108","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2010.03.013"},{"key":"bibr15-jrcpe.2021.108","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1254053"},{"key":"bibr16-jrcpe.2021.108","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2010.04050.x"},{"key":"bibr17-jrcpe.2021.108","first-page":"17","volume":"2","author":"Maduwage K","year":"2011","journal-title":"(Viperidae: Hypnale). 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