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Primary thrombosis in the upper extremity

D S Overstreet1, W H Skinner, T M Roy

  • 1Department of Internal Medicine, University of Louisville School of Medicine, KY 40292.

The Journal of the Kentucky Medical Association
|February 1, 1993
PubMed
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Primary deep vein thrombosis, often called "effort" thrombosis, can affect young individuals without typical risk factors. Early diagnosis is crucial to prevent severe acute complications and long-term issues.

Area of Science:

  • Medical Science
  • Vascular Medicine
  • Thrombosis Research

Background:

  • Deep vein thrombosis (DVT) can occur in upper extremity veins like the axillary or subclavian.
  • Unusual cases present in young patients lacking traditional thrombus risk factors.
  • This condition is often associated with strenuous activity, termed 'effort' thrombosis.

Purpose of the Study:

  • To discuss the clinical presentation and implications of primary upper extremity deep vein thrombosis.
  • To highlight the importance of recognizing this condition, distinct from secondary causes.
  • To advocate for the term 'primary thrombosis' due to its occurrence with minimal exertion and lack of vessel trauma.

Main Methods:

  • Literature review of cases presenting as primary upper extremity deep vein thrombosis.

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  • Analysis of clinical scenarios involving young patients and strenuous activity.
  • Comparison of 'effort' thrombosis with 'primary' thrombosis terminology.

    • Main Results:

    • Primary deep vein thrombosis in the upper extremities can occur in young, otherwise healthy individuals.
    • The condition is frequently linked to physical exertion, even mild.
    • A lack of obvious predisposing vessel trauma supports the 'primary' classification.

    Conclusions:

    • Early recognition of primary upper extremity deep vein thrombosis is essential.
    • Prompt diagnosis aids in preventing acute, potentially fatal, complications.
    • Timely intervention can minimize the development of chronic sequelae.