Cargando…
Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef
[Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the axillary and subclavian veins which may occur spontaneously, but is usually caused by excessive upper limb activity. PSS is clinically similar to other upper limb musculoskeletal disorders and soft tissue infections...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668195/ https://www.ncbi.nlm.nih.gov/pubmed/26644704 http://dx.doi.org/10.1589/jpts.27.3333 |
_version_ | 1782403952756654080 |
---|---|
author | Aytekin, Ebru Dogan, Yasemin Pekin Okur, Sibel Caglar Burnaz, Ozer Caglar, Nil Sayiner |
author_facet | Aytekin, Ebru Dogan, Yasemin Pekin Okur, Sibel Caglar Burnaz, Ozer Caglar, Nil Sayiner |
author_sort | Aytekin, Ebru |
collection | PubMed |
description | [Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the axillary and subclavian veins which may occur spontaneously, but is usually caused by excessive upper limb activity. PSS is clinically similar to other upper limb musculoskeletal disorders and soft tissue infections, and this may lead to delay in correct diagnosis in its early stages. The aim of our case report is to discuss this rare condition with reference to the available literature. [Subjects and Methods] Here we report the case of a doner kebab chef who complained of swelling and pain in his right arm around the biceps muscle. The initial diagnosis was biceps tendon rupture, for which the patient underwent magnetic resonance imaging (MRI) of the right arm and shoulder. Since the MRI revealed no pathological findings, right upper limb venous Doppler ultrasound analysis was performed. Subacute thrombosis materials were detected in the subclavian, axillary, and brachial veins. [Results] With rapid anticoagulant therapy, the patient’s symptoms quickly improved. [Conclusion] Early diagnosis and treatment of PSS is critical for preventing potentially fatal complications such as pulmonary embolism. Prophylaxis is important for preventing recurrent thrombosis and for avoiding the development of post-thrombotic syndrome. PSS should be considered a possible cause of painful swelling of the upper limbs, especially in young, active patients who use their arms excessively. |
format | Online Article Text |
id | pubmed-4668195 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-46681952015-12-07 Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef Aytekin, Ebru Dogan, Yasemin Pekin Okur, Sibel Caglar Burnaz, Ozer Caglar, Nil Sayiner J Phys Ther Sci Case Study [Purpose] Paget-Schroetter syndrome (PSS) is an uncommon deep vein thrombosis of the axillary and subclavian veins which may occur spontaneously, but is usually caused by excessive upper limb activity. PSS is clinically similar to other upper limb musculoskeletal disorders and soft tissue infections, and this may lead to delay in correct diagnosis in its early stages. The aim of our case report is to discuss this rare condition with reference to the available literature. [Subjects and Methods] Here we report the case of a doner kebab chef who complained of swelling and pain in his right arm around the biceps muscle. The initial diagnosis was biceps tendon rupture, for which the patient underwent magnetic resonance imaging (MRI) of the right arm and shoulder. Since the MRI revealed no pathological findings, right upper limb venous Doppler ultrasound analysis was performed. Subacute thrombosis materials were detected in the subclavian, axillary, and brachial veins. [Results] With rapid anticoagulant therapy, the patient’s symptoms quickly improved. [Conclusion] Early diagnosis and treatment of PSS is critical for preventing potentially fatal complications such as pulmonary embolism. Prophylaxis is important for preventing recurrent thrombosis and for avoiding the development of post-thrombotic syndrome. PSS should be considered a possible cause of painful swelling of the upper limbs, especially in young, active patients who use their arms excessively. The Society of Physical Therapy Science 2015-10-30 2015-10 /pmc/articles/PMC4668195/ /pubmed/26644704 http://dx.doi.org/10.1589/jpts.27.3333 Text en 2015©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. |
spellingShingle | Case Study Aytekin, Ebru Dogan, Yasemin Pekin Okur, Sibel Caglar Burnaz, Ozer Caglar, Nil Sayiner Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef |
title | Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter
syndrome in a doner kebab chef |
title_full | Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter
syndrome in a doner kebab chef |
title_fullStr | Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter
syndrome in a doner kebab chef |
title_full_unstemmed | Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter
syndrome in a doner kebab chef |
title_short | Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter
syndrome in a doner kebab chef |
title_sort | differential diagnosis of a rare case of upper limb pain: paget-schroetter
syndrome in a doner kebab chef |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668195/ https://www.ncbi.nlm.nih.gov/pubmed/26644704 http://dx.doi.org/10.1589/jpts.27.3333 |
work_keys_str_mv | AT aytekinebru differentialdiagnosisofararecaseofupperlimbpainpagetschroettersyndromeinadonerkebabchef AT doganyaseminpekin differentialdiagnosisofararecaseofupperlimbpainpagetschroettersyndromeinadonerkebabchef AT okursibelcaglar differentialdiagnosisofararecaseofupperlimbpainpagetschroettersyndromeinadonerkebabchef AT burnazozer differentialdiagnosisofararecaseofupperlimbpainpagetschroettersyndromeinadonerkebabchef AT caglarnilsayiner differentialdiagnosisofararecaseofupperlimbpainpagetschroettersyndromeinadonerkebabchef |