Document Detail

Axillary vein thrombosis during pregnancy in association with a lupus anticoagulant.
MedLine Citation:
PMID:  9581509     Owner:  NLM     Status:  MEDLINE    
A 42-year-old multiparous pregnant woman presented with swelling and pain of the left arm at 34 weeks gestation. She had no discoloration of her arm nor a loss of radial pulse. Duplex scanning demonstrated a thrombosis in the axillary vein. She was found to have a positive circulating lupus anticoagulant. Intravenous heparin was administered and resulted in resolution of discomfort and swelling on day four of therapy. The patient was maintained on therapeutic doses of subcutaneous heparin until vaginal delivery at 39 weeks. Prenatal course was complicated by a resolving infection believed to be due to cat-scratch disease which produced a five centimeter cystic lesion in the left axillae which was removed in the first trimester. Titers for cat-scratch disease were positive for mother and infant at delivery but infant titers were negative at six weeks. Axillary vein thrombosis in pregnancy can be complicated by pulmonary embolism and should be treated by heparin.
G Doyle; M Simmons; K Granke
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  94     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-05-28     Completed Date:  1998-05-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  87-9     Citation Subset:  IM    
Department of Family Medicine, West Virginia University School of Medicine, Morgantown, USA.
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MeSH Terms
Anticoagulants / administration & dosage,  therapeutic use
Axillary Vein*
Follow-Up Studies
Heparin / administration & dosage,  therapeutic use
Infant, Newborn
Injections, Subcutaneous
Lupus Coagulation Inhibitor / adverse effects*
Pregnancy Complications, Hematologic / drug therapy,  etiology*
Thrombophlebitis / drug therapy,  etiology*
Reg. No./Substance:
0/Anticoagulants; 0/Lupus Coagulation Inhibitor; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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