https://scholars.lib.ntu.edu.tw/handle/123456789/482383
Title: | Effort thrombosis of the upper extremities related to an arm stretching exercise | Authors: | HUEY-WEN LIANG TA-CHEN SU Hwang B.-S. Hung M.-H. |
Issue Date: | 2006 | Publisher: | Scientific Communications International Ltd | Journal Volume: | 105 | Journal Issue: | 2 | Start page/Pages: | 182-186 | Source: | Journal of the Formosan Medical Association | Abstract: | "Effort" axillary-subclavian vein thrombosis (Paget-Schroetter syndrome) is an uncommon deep venous thrombosis due to repetitive activity of the upper limbs. Most cases of this condition are related to strenuous or prolonged sport or occupational activities, while others are associated with endogenous or exogenous risk factors. We report the case of a 43-year-old, previously healthy, male who developed right axillary-subclavian venous thrombosis, which was possibly associated with an exercise involving arm extension and shaking in a posture of shoulder abduction and outstretched for 10 minutes on 2 consecutive days. The condition improved but returned with increased severity when he resumed the exercise after a 2-day break, when he presented with a swollen and bluish arm at the emergency department. Sonographic examination showed moderate thrombotic stenosis of the right axillary vein. Effort thrombosis was diagnosed after ruling out associated coagulopathy or concomitant malignancy. External compression of the accessory ribs or lymph nodes were not detected. He was treated with low molecular weight heparin, followed by oral anticoagulant therapy for 6 months. Only partial resolution of thrombosis was achieved after 6 months of anticoagulant therapy, but pulmonary embolism did not occur during 18 months of follow-up. This case illustrates that, although unusual, Paget-Schroetter syndrome can occur in a healthy patient as a result of mild to moderate exercise. ?2006 Elsevier & Formosan Medical Association. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-31744431880&doi=10.1016%2fS0929-6646%2809%2960343-0&partnerID=40&md5=932671c638c3a8073c222e209efcfef9 https://scholars.lib.ntu.edu.tw/handle/123456789/482383 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(09)60343-0 | SDG/Keyword: | anticoagulant agent; enoxaparin; low molecular weight heparin; warfarin; adult; anticoagulant therapy; arm exercise; article; axillary vein; case report; deep vein thrombosis; disease severity; echography; emergency ward; follow up; human; lung embolism; male; muscle stretching; outcome assessment; subclavian vein; treatment duration |
Appears in Collections: | 醫學系 |
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