一个患有高同胞血症的患者的足底静脉血栓:一个病例报告
Thomas Saliba1, Charlotte Wynants1, Dominique Pottier1
1*Department of Radiology, Hôpital de Braine L'Alleud, Braine L'Alleud, Belgium.
Journal of the American Podiatric Medical Association
|October 30, 2025
概括
超同胞蛋白血症 (HHcy) 可以导致罕见的血液凝块在不寻常的地方,如脚静脉. 这一案例凸显了人们对HHcy的认识的必要性.
科学领域:
- 血管医学 血管医学
- 代谢障碍 代谢障碍 代谢障碍
- 案例报告 案例报告
背景情况:
- 超同胞蛋白血症 (HHcy) 与动脉心血管事件,神经精神疾病,骨健康问题和静脉血栓形成的风险增加有关.
- 在HHcy患者中,静脉血栓塞栓症 (VTE) 通常发生在常见的位置,但不典型的表现越来越多地被识别出来.
研究的目的:
- 报告一名患有HHcy.的患者发生罕见的脚下甲足静脉血栓形成病例.
- 强调在患有疼痛的HHcy患者中考虑在异常解剖部位进行VTE的重要性.
主要方法:
- 一个45岁的女性被诊断出患有HHcy.的案例介绍.
- 诊断性超声波检查,以确定脚下足静脉血栓.
主要成果:
- 这位患者出现了急性脚痛,并有复发的表面静脉血栓形成史.
- 超声波证实了脚下甲足静脉血栓,这是一个罕见的事件,报告的病例少于50例.
- 之前没有文献直接将脚静脉血栓症与HHcy.联系起来.
结论:
- 这一案例突出了与HHcy.相关的不寻常位置的罕见血栓栓塞事件.
- 临床医生应保持在HHcy患者的非典型部位中对VTE的高度怀疑指数,即使没有其他主要风险因素.
- 意识到HHcy与异常解剖部位的血栓形成有关,对于及时诊断和管理至关重要.
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