Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity

Q Medicine Phlebologie-Annales Vasculaires Pub Date : 2023-08-01 DOI:10.1055/a-2043-2750
A. Gawaz, L. Gonser, Vincent Walter, A. Strölin, K. Kofler
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Abstract

Abstract Objectives Concurrent thrombosis is observed in up to 15 % of the patients with cellulitis of the lower extremity. The risk of concomitant venous thrombosis in patients with upper extremity cellulitis has not been investigated, yet. Aim of this study is to examine the frequency of concomitant venous thrombosis in patients with cellulitis of the upper extremity and to identify risk factors, comorbidities, and complications. Materials and Methods From 2014 to 2021, patients with cellulitis of the arm that received duplexsonography of the same limb were included. Files were reviewed for demographic data, comorbidities, and risk factors. Results 53 patients with upper limb cellulitis were included. In 11.3 % of the patients (n = 6), concomitant venous thrombosis of the upper extremity was detected. Three patients had deep arm thrombosis ( brachial and subclavian veins ), three had superficial vein thrombosis. Conclusion Cellulitis may increase the risk for venous thrombosis. Venous catheters and chronic lymphedema favor the occurrence of both cellulitis and venous thrombosis. Oncological patients are at particular risk for developing concomitant venous thrombosis.
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上肢蜂窝组织炎并发静脉血栓形成
摘要目的在高达15%的下肢蜂窝组织炎患者中观察到并发血栓形成。上肢蜂窝组织炎患者并发静脉血栓形成的风险尚未得到研究。本研究的目的是检查上肢蜂窝组织炎患者并发静脉血栓形成的频率,并确定危险因素、合并症和并发症。材料和方法从2014年到2021年,接受同一肢体双重暴露造影的手臂蜂窝组织炎患者包括在内。对档案进行了人口统计学数据、合并症和风险因素的审查。结果包括53例上肢蜂窝组织炎患者。11.3%的患者(n=6)检测到伴随的上肢静脉血栓形成。三名患者有深臂血栓形成(臂静脉和锁骨下静脉),三名有浅静脉血栓形成。结论蜂窝组织炎可能增加静脉血栓形成的风险。静脉导管和慢性淋巴水肿有利于蜂窝组织炎和静脉血栓的发生。肿瘤患者特别容易并发静脉血栓形成。
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>12 weeks
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Kommentar zu „Risiko für venöse Thromboembolien bei ambulanten COVID-19-Patienten erhöht“ UIP-Weltkongress 2027 Risiko für venöse Thromboembolien ist bei COVID-19 höher als bei Influenza Concomitant Venous Thrombosis in Cellulitis of the Upper Extremity Hugo Partsch und die Schweiz – eine etwas andere Würdigung
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