Extensive venous thrombosis of the upper extremity in a diabetic patient with a hyperosmolar hyperglycemic state

Juri Park, Dong Jin Kim, Hee Young Kim, Ji A. Seo, Sin Gon Kim, Sei Hyun Baik, Dong Seop Choi

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

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 languageEnglish
Pages (from-to)244-247
Number of pages4
JournalKorean Journal of Internal Medicine
Volume21
Issue number4
DOIs
Publication statusPublished - 2006
Externally publishedYes

Keywords

  • Diabetes mellitus
  • Hyperglycemic hyperosmolar nonketotic coma
  • Upper extremity
  • Venous thrombosis

ASJC Scopus subject areas

  • Internal Medicine

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