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<\/p>\nResearchers at\u00a0Rutgers Robert Wood Johnson Medical School\u00a0are reporting the first instance of COVID-19 triggering a rare recurrence of potentially serious blood clots in people\u2019s arms.<\/p>\n
The\u00a0discovery, published in the journal\u00a0Viruses, improves the understanding of how inflammation caused by COVID-19 can lead to upper extremity blood clots and how best to treat them.\u00a0The case study is part of a larger Rutgers study of 1,000\u00a0hospitalized patients diagnosed with COVID-19 who were admitted and discharged between March and May 2020.<\/p>\n
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While there have been reports of\u00a0lower extremity deep vein thrombosis\u00a0following COVID-19, this is the first study in which COVID-19 triggered a recurrence in the upper arm of an active 85-year-old man who had a prior diagnosis of upper extremity blood clots.<\/p>\n
\u201cThe patient presented to his primary care physician with complaints of swelling in his left arm and was sent to the hospital for further management where he was diagnosed with an upper arm blood clot and an asymptomatic COVID-19 infection,\u201d said Payal Parikh, an assistant professor of medicine at Rutgers Robert Wood Johnson Medical School, who led the study along with Martin Blaser, director of the Center for Advanced Biotechnology and Medicine and a professor at Rutgers Robert Wood Johnson Medical School. \u201cWhile his oxygen levels were not diminished, he was hospitalized for the management of the upper extremity deep vein blood clot. Often, blood clots are preceded by chronic inflammatory conditions exacerbated by immobility, and rarely do they occur in patients who are otherwise healthy and active at baseline.\u201d<\/p>\n
Most cases of deep vein thrombosis occur in the legs. Only about 10 percent of blood clots occur in the arms and of those cases only 9 percent recur.<\/p>\n
\u201cThis is of concern since in 30 percent of these patients, the blood clot can travel to the lung and be possibly fatal,\u201d said Parikh. \u201cOther disabling\u00a0complications include persistent swelling, pain and arm fatigue.\u201d<\/p>\n
The study suggests that clinicians should consider testing for\u00a0deep vein thrombosis\u00a0and COVID-19 in patients who present with complaints of unexplained swelling. People who test positive for COVID-19 should seek medical attention if they have declining oxygen levels, shortness of breath and any unexplained swelling.<\/p>\n
\u201cIf you have been previously diagnosed with\u00a0deep vein thrombosis or have chronic medical illness that predisposes you to blood clots, you have a higher risk for recurrence of a deep vein thrombus in the setting of a COVID-19 infection and thus, should be vigilant,\u201d said Parikh.<\/p>\n
Reference:<\/p>\n
Parekh YH, Altomare NJ, McDonnell EP, Blaser MJ, Parikh PD. Recurrence of Upper Extremity Deep Vein Thrombosis Secondary to COVID-19.\u00a0Viruses. 2021;13(5):878. doi:10.3390\/v13050878<\/p>\n
This article has been republished from the following\u00a0materials. Note: material may have been edited for length and content. For further information, please contact the cited source.<\/p>\n","protected":false},"excerpt":{"rendered":"
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