title: Diabetic ketoacidosis complicated by generalized venous thrombosis:  a case report and review.
abstract: Venous thromboembolism is a rarely described complication of diabetic ketoacidosis (DKA). We describe a 21-year-old male patient with poorly controlled type 1 diabetes mellitus who was admitted with DKA, presumably secondary to noncompliance, whose clinical picture was complicated by generalized thrombosis involving multiple venous locations including renal vein, pulmonary vasculature, external iliac and common iliac veins. The patient had no family history of any coagulation disorders and a hypercoagulabilty work-up remained negative. The patient was subsequently anticoagulated with heparin and discharged home on warfarin. To the best of our knowledge, this is the first reported case of multiple venous thromboses occurring as a complication of DKA with no other risk factors. We also reiterate that although rare, venous thrombosis should always be considered as a potential complication of DKA.
authors.affiliation: Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, New York 13210, USA. sujithvcherian@gmail.com
authors.forename: Sujith V
authors.initials: SV
authors.lastname: Cherian
authors.forename: Lovedeep
authors.initials: L
authors.lastname: Khara
authors.forename: Subhraleena
authors.initials: S
authors.lastname: Das
authors.forename: Wasim A
authors.initials: WA
authors.lastname: Hamarneh
authors.forename: Amarinder S
authors.initials: AS
authors.lastname: Garcha
authors.forename: Vincent
authors.initials: V
authors.lastname: Frechette
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage* / Q000627:therapeutic use; D016883:Diabetic Ketoacidosis / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007084:Iliac Vein / Q000503:physiopathology; D008297:Male; D010349:Patient Compliance; D011667:Pulmonary Veins / Q000503:physiopathology; D012082:Renal Veins / Q000503:physiopathology; D012307:Risk Factors; D020246:Venous Thrombosis / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D014859:Warfarin / Q000008:administration & dosage / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin