WordNet
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
- English industrialist who pioneered in the design and manufacture of aircraft (1885-1962) (同)Sir Frederick Handley Page
- United States diplomat and writer about the Old South (1853-1922) (同)Thomas Nelson Page
- English pathologist who discovered the cause of trichinosis (1814-1899) (同)Sir James Paget
PrepTutorEJDIC
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/06/05 13:59:36」(JST)
[Wiki en表示]
For other diseases named after Paget, see Paget's disease (disambiguation).
Paget-Schrotter disease |
Anterior view of right upper limb and thorax
|
Classification and external resources |
ICD-10 |
I82.8 |
ICD-9 |
453.8 |
DiseasesDB |
34349 |
eMedicine |
med/2772 |
Paget–Schroetter disease, also known as Paget–von Schrötter disease, is a form of upper extremity deep vein thrombosis (DVT), a medical condition in which blood clots form in the deep veins of the arms. These DVTs typically occur in the axillary or subclavian veins.
Contents
- 1 Signs and symptoms
- 2 Treatment
- 3 History
- 4 References
- 5 External links
Signs and symptoms
The condition is relatively rare.[1] It usually presents in young and otherwise healthy patients, and also occurs more often in males than females. The syndrome also became known as "effort-induced thrombosis" in the 1960s,[2] as it has been reported to occur after vigorous activity,[3] though it can also occur spontaneously. It may develop as a sequela of thoracic outlet syndrome. Paget–Schroetter syndrome was described once for a viola player who suddenly increased practice time 10-fold, creating enough repetitive pressure against the brachiocephalic and external jugular veins to cause thrombosis.[4]
Symptoms may include sudden onset of pain, warmth, redness, blueness and swelling in the arm. These DVTs rarely cause fatal pulmonary embolism.
Indexing deep vein thrombosis in ICD10 index book gives the code I80.2 which is specific to lower extremeties so the actual code should be I80.8 to clarifiy it is another site.
Treatment
The traditional treatment for thrombosis is the same as for a lower extremity DVT, and involves anticoagulation with heparin (generally low molecular weight heparin) with a transition to warfarin.
Alternative treatment is thrombolysis to open up the vein, which aims to reduce the incidence of post-thrombotic syndrome, followed by first-rib resection during the same hospital admission and not waiting for a repeat episode.
History
The condition is named after two men. James Paget[5] first proposed the idea of venous thrombosis causing upper extremity pain and swelling,[6] and Leopold von Schrötter later linked the clinical syndrome to thrombosis of the axillary and subclavian veins.[7]
References
- ^ Hughes, ES (1949). "Venous obstruction in the upper extremity; Paget–Schroetter's syndrome; a review of 320 cases". Surg Gynecol Obstet 88 (2): 89–127. PMID 18108679.
- ^ Drapanas, T; Curran, WL (1966). "Thrombectomy in the treatment of "effort" thrombosis of the axillary and subclavian veins". Journal of Trauma (6): 107.
- ^ Flinterman LE; Van Der Meer FJ; Rosendaal FR; Doggen CJ (Aug 2008). "Current perspective of venous thrombosis in the upper extremity". Journal of Thrombosis and Haemostasis 6 (8): 1262–6. doi:10.1111/j.1538-7836.2008.03017.x. PMID 18485082.
- ^ Reina, Nick J.; Honet, Joseph C.; Brown, William; Beitman, Max; Chodoroff, Gary (1988). "Paget-Schroetter syndrome in a viola player". Medical Problems of Performing Artists 3 (1): 24.
- ^ Paget-von Schrötter disease at Who Named It?
- ^ Paget J (1866). "On gouty and some other forms of phlebitis". St. Bartholomew's Hospital Reports 2: 82–92.
- ^ L. von Schrötter. Erkrankungen der Gefässe. Nothnagel’s Handbuch der speciellen Pathologie und Therapie, 1901. Volume XV, II. Theil, II. Hälfte: Erkrankungen der Venen. Wien, Hölder, 1899: 533–535.
External links
- Overview at Uniformed Services University of the Health Sciences
- An image and case description from the NEJM
UpToDate Contents
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English Journal
- Percutaneous Re-positioning of Dislocated Port-Catheters in Patients with Dysfunctional Central-Vein Port-Systems.
- Massmann A1, Jagoda P2, Kranzhoefer N3, Buecker A2.
- Annals of surgical oncology.Ann Surg Oncol.2015 Dec;22(13):4124-9. doi: 10.1245/s10434-015-4549-5. Epub 2015 Apr 9.
- PURPOSE: Observational analysis of percutaneous repositioning of displaced port-catheters in patients with dysfunctional central-venous port-systems.METHODS: A total of 1061 patients with dysfunctional venous pectoral port-systems were referred for port-angiography. Dislocated port-catheters were id
- PMID 25854845
- Paget-Schroetter syndrome: A review and Algorithm (WASPS-IR).
- Naeem M1, Soares G2, Ahn S1, Murphy TP1.
- Phlebology / Venous Forum of the Royal Society of Medicine.Phlebology.2015 Dec;30(10):675-86. doi: 10.1177/0268355514568534. Epub 2015 Feb 11.
- Venous compression syndromes are rare and occur due to the entrapment of vein(s) in confined anatomical spaces bounded by osseous and non-osseous structures. Here we present a review of Paget-Schroetter Syndrome, an important cause of upper extremity of deep vein thrombosis, its associated clinical
- PMID 25673095
Japanese Journal
- Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef
- Acute Pulmonary Embolism due to Paget-Schroetter Syndrome
Related Links
- PAGET SCHROETTER SYNDROME Thoracoscopic vein of volleyball effort the chiropractors first disease. Paget-schroetter rare is secondary. I a subculture thrombosis in d.1. 3 on hypertrophied extremity paget-schroetter the in ...
- Effort thrombosis, or Paget-Schroetter Syndrome, refers to axillary-subclavian vein thrombosis associated with strenuous and repetitive activity of the upper extremities. Anatomical abnormalities at the thoracic outlet and repetitive ...
Related Pictures
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