Abstract
We report a case of extensive venous thrombosis of the upper extremity in a patient with a hyperosmolar hyperglycemic state (HHS). Thrombosis of the upper extremities is generally found in 4% of cases with deep venous thrombosis. Extensive, symptomatic venous thrombosis of the upper extremity, as seen in this patient, is rare except with catheter-related thrombosis. Recent studies have supported the safety and efficacy of catheter-directed thrombolysis in patients with no contraindication to thrombolytic therapy, and have recommended early catheter-directed thrombolysis. Therefore, our patient was treated with early catheter-directed thrombolysis followed by anticoagulation.
Original language | English |
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Pages (from-to) | 244-247 |
Number of pages | 4 |
Journal | Korean Journal of Internal Medicine |
Volume | 21 |
Issue number | 4 |
DOIs | |
Publication status | Published - 2006 |
Externally published | Yes |
Keywords
- Diabetes mellitus
- Hyperglycemic hyperosmolar nonketotic coma
- Upper extremity
- Venous thrombosis
ASJC Scopus subject areas
- Internal Medicine