[Use of D-dimer to exclude upper extremity deep venous thrombosis].
D-dimer is often used to exclude deep venous thrombosis, primarily in the lower extremities. We describe a 38-year-old man who had deep venous thrombosis in the left vena subclavia in spite of a normal D-dimer. Only one inconclusive survey compares the value of D-dimer and upper extremity deep venous thrombosis. We conclude that where deep venous thrombosis of the upper extremities is suspected, you cannot rely on the D-dimer value, but should examine the patient using other modalities such as colour Doppler ultrasound.
Ahler-Toftehøj
Hans-Ulrik
HU
Ortopaedkirurgisk Afdeling, Herlev Hospital, DK-2730 Herlev. hantof01@heh.regionh.dk
Mikkelsen
Peter
P
D000328:Adult; D003937:Diagnosis, Differential; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis*; D006801:Humans; D008297:Male; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging
D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D