| A case of lower extremity venous thrombosis in the pediatric emergency department: associations with May-Thurner syndrome and isotretinoin use. | |
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MedLine Citation:
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PMID: 21293221 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Unilateral calf swelling and pain is not a common complaint in the pediatric emergency department. We present a case of a 17-year-old adolescent boy with no past medical history who presented with left leg swelling and pain while taking prednisone and isotretinoin. He was found to have an extensive occlusive thrombus throughout the deep venous system in his left leg. He was later diagnosed with May-Thurner syndrome, an anatomic variant in which the right iliac artery compresses the left iliac vein. We review the differential diagnosis, diagnostic workup, and initial ED management of deep venous thrombosis and provide a brief discussion of May-Thurner syndrome and the association of isotretinoin and vascular thrombi. |
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Authors:
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Mary C Whitman; David M Walker |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatric emergency care Volume: 27 ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-04 Completed Date: 2011-06-17 Revised Date: 2012-02-02 |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 125-8 Citation Subset: IM |
Affiliation:
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Yale University School of Medicine, New Haven, CT, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Angioplasty / instrumentation, methods Anticoagulants / therapeutic use Emergency Service, Hospital Follow-Up Studies Heparin / therapeutic use Humans Iliac Artery / abnormalities*, radiography Iliac Vein / abnormalities*, radiography Isotretinoin / administration & dosage, adverse effects Male Peripheral Arterial Disease / complications*, radiography Phlebography Pulmonary Embolism / drug therapy, etiology*, radiography Risk Assessment Stents Steroids / administration & dosage, adverse effects Syndrome Vascular Malformations / complications*, radiography Venous Thrombosis / etiology*, physiopathology, surgery |
| Grant Support | |
ID/Acronym/Agency:
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GM07205/GM/NIGMS NIH HHS; T32 GM007205-24/GM/NIGMS NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Anticoagulants; 0/Steroids; 4759-48-2/Isotretinoin; 9005-49-6/Heparin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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