한번의 말초정맥주사로 유발되어 파국적으로 진행된 Trousseau증후군 1예
- Authors
- 문지용; 신동호; 김사일; 곽현정; 송순영; 김인순; 김상헌; 김태형; 손장원; 윤호주; 박성수
- Issue Date
- Aug-2011
- Publisher
- 대한결핵및호흡기학회
- Keywords
- Upper Extremity Deep Vein Thrombosis; Antiphospholipid Syndrome; Stomach Neoplasms
- Citation
- Tuberculosis and Respiratory Diseases, v.71, no.2, pp.134 - 138
- Indexed
- SCOPUS
KCI
- Journal Title
- Tuberculosis and Respiratory Diseases
- Volume
- 71
- Number
- 2
- Start Page
- 134
- End Page
- 138
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/167762
- DOI
- 10.4046/trd.2011.71.2.134
- ISSN
- 1738-3536
- Abstract
- Trousseau's syndrome is an unexplained thrombotic event that precedes the diagnosis of an occult visceral malignancy or appears concomitantly with the tumor. Upper extremity deep vein thrombosis is prevalent in patients with a central venous catheter. Furthermore, a peripheral intravenous injection may cause upper extremity deep vein thrombosis as well. However, a deep vein thrombosis has not been reported in the form of Trousseau's syndrome with a catastrophic clinical course triggered by a single peripheral intravenous injection. A 48-year-old man presented with a swollen left arm on which he was given intravenous fluid at a local clinic due to flu symptoms. Contrast computed tomgraphy scans showed thromboses from the left distal brachial to the innominate vein. The patient developed multiple cerebral infarctions despite anticoagulation treatment. He was diagnosed with stomach cancer by endoscopic biopsy to evaluate melena and had a persistently positive lupus anticoagulant. After recurrent and multiple thromboembolic events occurred with treatment, he died on day 20.
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