Document Detail


The wheelchair thrombosis syndrome.
MedLine Citation:
PMID:  16895294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of deep vein thrombosis (DVT) related to prolonged wheelchair use. CASE REPORT: A 48-year-old patient with spastic quadriplegia usually spent 10-12 hours daily in a wheelchair. He suddenly developed marked swelling of his right foot, leg and thigh. His plasma D-dimer level was 1,030 (normal <500) ng/ml. A duplex ultrasound revealed common femoral vein thrombosis. He was hospitalized and anticoagulated; his extremity swelling decreased considerably by day 45. Hypercoagulability work-up disclosed previously subclinical mild elevation of serum cardiolipin immunoglobulin G (antiphospholipid syndrome). This patient will receive longterm anticoagulation. CONCLUSION: Prolonged sitting in wheelchair may cause DVT. To enhance public recognition of this avoidable risk, we propose the term "wheelchair thrombosis syndrome."
Authors:
Ghan-Shyam Lohiya; Lilia Tan-Figueroa; Steve Silverman; Hung Van Le
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  98     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-09     Completed Date:  2007-11-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1188-92     Citation Subset:  IM    
Affiliation:
Fairview Developmental Center, Costa Mesa, CA, USA. glohiya@fdc.dds.ca.gov
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / therapeutic use
Female
Femoral Vein / ultrasonography*
Humans
Middle Aged
Quadriplegia
Syndrome
Venous Thrombosis / drug therapy,  etiology*,  ultrasonography*
Wheelchairs / adverse effects*
Chemical
Reg. No./Substance:
0/Anticoagulants
Comments/Corrections

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


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