A Case of Subclavian Artery Thrombosis.
| Autor: | Hassan SA; Internal Medicine, Dow University of Health Sciences, Karachi, PAK., Akhtar A; Internal Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi, PAK., Falah NU; Internal Medicine, King Edward Medical University, Lahore, PAK., Khan M; Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi, PAK., Zahra U; Internal Medicine, Fatima Jinnah Medical University, Lahore, PAK. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2020 Feb 01; Vol. 12 (2), pp. e6842. Date of Electronic Publication: 2020 Feb 01. |
| DOI: | 10.7759/cureus.6842 |
| Abstrakt: | Subclavian artery thrombosis is a rare cause of upper limb ischemia resulting from occlusion of the upper extremity blood supply. Symptomatic presentation is quite rare and therefore remains underdiagnosed by physicians. Possible catastrophic clinical consequences necessitate prompt rectification of the underlying disease and risk factors. Treatment modalities are often selected depending on the severity of clinical presentation. Herein, we present a case of a 52-year-old man who presented to the outpatient department with a one-month history of pain and blackish discoloration of the right-hand digits, palm, and wrist. His social history also revealed a chronic 30-year history of smoking. At the time of consultation, his past medical history was insignificant for chronic medical disease and hospitalizations. However, inpatient investigations diagnosed him with diabetes. Physical examination revealed a bad odor emanating from the devitalized affected right hand. Neurological examination was significant for the loss of pain sensation in the right hand. Furthermore, the right radial and brachial pulses were also absent (grade 0). Right upper extremity angiography revealed the occlusion of the right subclavian artery and right brachial artery. Above elbow amputation was advised and performed based on angiogram scans and physical examination findings. We report a case of subclavian artery thrombosis in an undiagnosed diabetic with a chronic history of smoking. Our report details the common etiology, clinical presentation, and management options feasible for this clinical entity. Furthermore, it reiterates the importance of counseling patients to attend annual healthcare doctor visits. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2020, Hassan et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|