An unusual presentation of a swollen arm: a case report
Identifieur interne : 002D58 ( Main/Curation ); précédent : 002D57; suivant : 002D59An unusual presentation of a swollen arm: a case report
Auteurs : Monica Kidd [Canada] ; Vina Broderick [Canada]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2014.
Abstract
Subclavian vein thrombosis is a rare but potentially fatal condition that most often occurs iatrogenically or in the context of malignancy. Here we report the case of an active, healthy 32-year-old woman who presented with subtle findings of arm pain, paresthesias and skin changes of acute onset and was subsequently diagnosed with upper extremity deep vein thrombosis and subclavian stenosis, and was started on a course of oral antithrombotics.
A 32-year-old right-handed Caucasian woman presented to her family medicine clinic with left shoulder pain and numbness along her ipsilateral forearm and hand, as well as subtle swelling of the affected limb. Initially diagnosed with medial epicondylitis, she was later diagnosed with subclavian thrombosis caused by Paget–Schröetter syndrome.
Presentations such as these are often attributable to soft-tissue injuries that resolve with rest and sometimes physiotherapy. Subclavian thrombosis was a highly unexpected diagnosis in this case; however, family physicians must remain vigilant in considering rare causes of common clinical presentations which could cause patients significant morbidity if left undiagnosed.
Url:
DOI: 10.1186/1752-1947-8-22
PubMed: 24468221
PubMed Central: 3917418
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<author><name sortKey="Kidd, Monica" sort="Kidd, Monica" uniqKey="Kidd M" first="Monica" last="Kidd">Monica Kidd</name>
<affiliation wicri:level="4"><nlm:aff id="I1">Department of Family Medicine, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1, Canada</nlm:aff>
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<wicri:regionArea>Department of Family Medicine, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta T2N 4N1</wicri:regionArea>
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<author><name sortKey="Broderick, Vina" sort="Broderick, Vina" uniqKey="Broderick V" first="Vina" last="Broderick">Vina Broderick</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Discipline of Family Medicine, Memorial University of Newfoundland, St John’s A1B 3V6, Canada</nlm:aff>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>Subclavian vein thrombosis is a rare but potentially fatal condition that most often occurs iatrogenically or in the context of malignancy. Here we report the case of an active, healthy 32-year-old woman who presented with subtle findings of arm pain, paresthesias and skin changes of acute onset and was subsequently diagnosed with upper extremity deep vein thrombosis and subclavian stenosis, and was started on a course of oral antithrombotics.</p>
</sec>
<sec><title>Case presentation</title>
<p>A 32-year-old right-handed Caucasian woman presented to her family medicine clinic with left shoulder pain and numbness along her ipsilateral forearm and hand, as well as subtle swelling of the affected limb. Initially diagnosed with medial epicondylitis, she was later diagnosed with subclavian thrombosis caused by Paget–Schröetter syndrome.</p>
</sec>
<sec><title>Conclusion</title>
<p>Presentations such as these are often attributable to soft-tissue injuries that resolve with rest and sometimes physiotherapy. Subclavian thrombosis was a highly unexpected diagnosis in this case; however, family physicians must remain vigilant in considering rare causes of common clinical presentations which could cause patients significant morbidity if left undiagnosed.</p>
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</author>
<author><name sortKey="Desmeules, M" uniqKey="Desmeules M">M Desmeules</name>
</author>
<author><name sortKey="Lagace, C" uniqKey="Lagace C">C Lagace</name>
</author>
<author><name sortKey="Badley, Em" uniqKey="Badley E">EM Badley</name>
</author>
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<author><name sortKey="Persson, Lm" uniqKey="Persson L">LM Persson</name>
</author>
<author><name sortKey="Rosfors, S" uniqKey="Rosfors S">S Rosfors</name>
</author>
<author><name sortKey="Ludwigs, U" uniqKey="Ludwigs U">U Ludwigs</name>
</author>
<author><name sortKey="Larfars, G" uniqKey="Larfars G">G Larfars</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bosma, J" uniqKey="Bosma J">J Bosma</name>
</author>
<author><name sortKey="Vahl, Ac" uniqKey="Vahl A">AC Vahl</name>
</author>
<author><name sortKey="Coveliers, Hme" uniqKey="Coveliers H">HME Coveliers</name>
</author>
<author><name sortKey="Rauwerda, Ja" uniqKey="Rauwerda J">JA Rauwerda</name>
</author>
<author><name sortKey="Wisselink, W" uniqKey="Wisselink W">W Wisselink</name>
</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Stevens, Sm" uniqKey="Stevens S">SM Stevens</name>
</author>
<author><name sortKey="Woller, Sc" uniqKey="Woller S">SC Woller</name>
</author>
<author><name sortKey="Lee, Ew" uniqKey="Lee E">EW Lee</name>
</author>
<author><name sortKey="Kee, St" uniqKey="Kee S">ST Kee</name>
</author>
<author><name sortKey="Liu, Dm" uniqKey="Liu D">DM Liu</name>
</author>
<author><name sortKey="Lohan, Dg" uniqKey="Lohan D">DG Lohan</name>
</author>
<author><name sortKey="Elliott, Cg" uniqKey="Elliott C">CG Elliott</name>
</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Simioni, P" uniqKey="Simioni P">P Simioni</name>
</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Jaeschke, R" uniqKey="Jaeschke R">R Jaeschke</name>
</author>
<author><name sortKey="Stevens, Sm" uniqKey="Stevens S">SM Stevens</name>
</author>
<author><name sortKey="Goodacre, S" uniqKey="Goodacre S">S Goodacre</name>
</author>
<author><name sortKey="Wells, Ps" uniqKey="Wells P">PS Wells</name>
</author>
<author><name sortKey="Stevenson, Md" uniqKey="Stevenson M">MD Stevenson</name>
</author>
<author><name sortKey="Kearon, C" uniqKey="Kearon C">C Kearon</name>
</author>
<author><name sortKey="Schunemann, Hj" uniqKey="Schunemann H">HJ Schunemann</name>
</author>
<author><name sortKey="Crowther, M" uniqKey="Crowther M">M Crowther</name>
</author>
<author><name sortKey="Pauker, Sg" uniqKey="Pauker S">SG Pauker</name>
</author>
<author><name sortKey="Makdissi, R" uniqKey="Makdissi R">R Makdissi</name>
</author>
<author><name sortKey="Guyatt, Gh" uniqKey="Guyatt G">GH Guyatt</name>
</author>
</analytic>
</biblStruct>
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</author>
</analytic>
</biblStruct>
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</author>
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</author>
<author><name sortKey="Comerota, Aj" uniqKey="Comerota A">AJ Comerota</name>
</author>
<author><name sortKey="Prandoni, P" uniqKey="Prandoni P">P Prandoni</name>
</author>
<author><name sortKey="Bounameaux, H" uniqKey="Bounameaux H">H Bounameaux</name>
</author>
<author><name sortKey="Goldhaber, Sz" uniqKey="Goldhaber S">SZ Goldhaber</name>
</author>
<author><name sortKey="Nelson, Me" uniqKey="Nelson M">ME Nelson</name>
</author>
<author><name sortKey="Wells, Ps" uniqKey="Wells P">PS Wells</name>
</author>
<author><name sortKey="Gould, Mk" uniqKey="Gould M">MK Gould</name>
</author>
<author><name sortKey="Dentali, F" uniqKey="Dentali F">F Dentali</name>
</author>
<author><name sortKey="Crowther, M" uniqKey="Crowther M">M Crowther</name>
</author>
<author><name sortKey="Kahn, Sr" uniqKey="Kahn S">SR Kahn</name>
</author>
</analytic>
</biblStruct>
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</author>
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</author>
<author><name sortKey="Hassoun, Ht" uniqKey="Hassoun H">HT Hassoun</name>
</author>
<author><name sortKey="Black, Jh" uniqKey="Black J">JH Black</name>
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<author><name sortKey="Roseborough, Gs" uniqKey="Roseborough G">GS Roseborough</name>
</author>
<author><name sortKey="Perler, Ba" uniqKey="Perler B">BA Perler</name>
</author>
<author><name sortKey="Rotellini Coltvet, L" uniqKey="Rotellini Coltvet L">L Rotellini-Coltvet</name>
</author>
<author><name sortKey="Call, D" uniqKey="Call D">D Call</name>
</author>
<author><name sortKey="Busse, C" uniqKey="Busse C">C Busse</name>
</author>
<author><name sortKey="Freischlag, Ja" uniqKey="Freischlag J">JA Freischlag</name>
</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Ahmed, N" uniqKey="Ahmed N">N Ahmed</name>
</author>
<author><name sortKey="Desai, M" uniqKey="Desai M">M Desai</name>
</author>
<author><name sortKey="Baker, D" uniqKey="Baker D">D Baker</name>
</author>
<author><name sortKey="Hamilton, G" uniqKey="Hamilton G">G Hamilton</name>
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