Extensive venous thrombosis of the upper extremity in a diabetic patient with a hyperosmolar hyperglycemic state.
10.3904/kjim.2006.21.4.244
- Author:
Juri PARK
1
;
Dong Jin KIM
;
Hee Young KIM
;
Ji A SEO
;
Sin Gon KIM
;
Sei Hyun BAIK
;
Dong Seop CHOI
Author Information
1. Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. k50367@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Hyperglycemic Hyperosmolar Nonketotic Coma;
Diabetes Mellitus;
Upper Extremity;
Venous Thrombosis
- MeSH:
Venous Thrombosis/diagnosis/drug therapy/*etiology;
Ultrasonography, Doppler;
Thrombolytic Therapy/methods;
*Subclavian Vein;
Phlebography;
Male;
Insulin/administration & dosage/therapeutic use;
Injections, Intravenous;
Hypoglycemic Agents/administration & dosage/therapeutic use;
Hyperglycemic Hyperosmolar Nonketotic Coma/*complications/drug therapy;
Humans;
Diagnosis, Differential;
Catheterization, Peripheral/*adverse effects;
*Brachiocephalic Veins;
*Axillary Vein;
Anticoagulants/administration & dosage/therapeutic use;
Adult
- From:The Korean Journal of Internal Medicine
2006;21(4):244-247
- CountryRepublic of Korea
- Language:English
-
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.
