title: Effort thrombosis (Paget-Schroetter syndrome) in a 16-year-old male.
abstract: METHODS
  Male, 16.
  
  
  METHODS
  Effort thrombosis (Paget-Schroetter Sydnrome).
  
  
  METHODS
  Swollen arms.
  
  
  METHODS
  -.
  
  
  METHODS
  -.
  
  
  METHODS
  Metabolic Disorders and Diabetics.
  
  
  OBJECTIVE
  Rare disease.
  
  
  BACKGROUND
  Thrombotic events in otherwise healthy pediatric patients are rare. In patients presenting with limb swelling, thrombosis must be considered in the differential diagnosis. In pediatric patients with thrombosis, there has been wide variability in the rates of associated thrombophilia. Many pediatric patients may instead have other contributors such as venous catheters or physical activity.
  
  
  METHODS
  We present a case of bilateral upper extremity deep venous thrombi in a previously healthy 16-year-old male. The patient presented with swelling and pain in both arms after several days of weight-bearing exercise. Following emergency department evaluation with ultrasound and laboratory testing, the patient was diagnosed with effort thrombosis - also known as Paget-Schroetter syndrome - and rhabdomyolysis.
  
  
  CONCLUSIONS
  This case of Paget-Schroetter syndrome is distinguished by elevation in creatine kinase and transaminases. While these findings can be due to physical exertion and effort, effort thrombosis is not classically associated with laboratory abnormalities except an elevated D-dimer. The significance of these laboratory test result abnormalities remains unclear. Given the rarity of effort thrombosis, further epidemiological study is warranted to determine if these laboratory findings are seen in other cases, and, if so, what implications they may have for management and prognosis.
authors.affiliation: Department of Emergency Medicine, Albany Medical Center, Albany, USA.
authors.forename: Taylor R
authors.initials: TR
authors.lastname: Spencer
authors.affiliation: Department of Emergency Medicine, Albany Medical Center, Albany, USA.
authors.forename: Richard E
authors.initials: RE
authors.lastname: Lagace
authors.affiliation: Department of Emergency Medicine, Albany Medical Center, Albany, USA.
authors.forename: George
authors.initials: G
authors.lastname: Waterman
mesh_terms: D000293:Adolescent; D000925:Anticoagulants / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D005440:Fluid Therapy; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D012206:Rhabdomyolysis / Q000150:complications / Q000175:diagnosis; D015912:Thrombolytic Therapy / Q000379:methods*; D018615:Ultrasonography, Doppler, Color; D056824:Upper Extremity Deep Vein Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000925:Anticoagulants; D006493:Heparin
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