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Comprehensive hypercoagulable state testing is indicated in patients with a first idiopathic deep venous thrombosis
Douglas A Triplett1, John A Penner
1Midwest Hemostasis and Thrombosis Laboratories, 3591 North Briarwood Lane, Suite B, Muncie, IN 47304, USA. dtriplett@cami3.com
The Medical Clinics of North America
|December 19, 2003
Summary
A 45-year-old man developed acute deep vein thrombosis (DVT) in his right leg. Further investigation for a hypercoagulable state is being considered due to the absence of typical risk factors.
Area of Science:
- Vascular Medicine
- Hematology
Background:
- Deep vein thrombosis (DVT) is a significant vascular condition.
- Risk factors for DVT include immobility, surgery, trauma, cancer, and inherited thrombophilia.
Observation:
- A 45-year-old male presented with acute right leg swelling and pain.
- Physical examination revealed signs consistent with deep vein thrombosis.
Findings:
- The patient was diagnosed with acute right common femoral vein thrombosis.
- He had no identifiable risk factors such as recent surgery, trauma, prolonged travel, or malignancy.
Implications:
- The unexplained nature of this DVT suggests a potential underlying hypercoagulable state.
- A comprehensive hypercoagulable state panel is warranted for further etiological investigation.