Paget-Schroetter disease history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Anahita Deylamsalehi, M.D.[2]
Overview
A positive history of repetitive upper extremity movements in a patient presenting with arm discomfort and edema is suggestive of Paget-Schroetter disease.
History and Symptoms
- A positive history of vigorous upper extremity movements or even relatively minor day-to-day arm activities with or without dehydration in the presence of related symptoms is suggestive of Paget-Schroetter disease.[1]
- The most common symptoms of Paget-Schroetter disease include arm discomfort or heaviness, pain, swelling, and erythema of the upper extremity.
History
- Patients with Paget-Schroetter disease or effort thrombosis may have a positive history of:
- Sports-related arm exertion (often with sports that require repetitive hyper-abduction, extension and/or external rotation)
- Minor everyday upper limb activities[2]
- Onset of the Paget-Schroetter disease is usually acute or sub-acute, nevertheless some cases present with chronic symptoms.[3]
- Around 60-80% of cases with Paget-Schroetter disease have a history of repetitious activity of upper extremity with 85% occurred within last 24 hours of symptoms onset.[4]
- In 87% of cases, the Paget-Schroetter disease involves the dominant arm.[5]
Common Symptoms
Common symptoms of Paget-Schroetter disease include:
- Arm discomfort and heaviness
- Pain
- Edema and swelling
- Erythema of the affected upper limb
- Cyanosis (usually presented in late stages)[6]
- Paresthesia[7]
Less Common Symptoms
- Occasionally symptoms of Paget-Schroetter disease can mimic a muscular strain.
- Patients may initially presented with symptoms of Pulmonary Embolism.[8]
References
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ Ringhouse, Brendan; Jackson, Cody (2017). "Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget–Schroetter Syndrome) in the Military Population, a Case Study". Military Medicine. 182 (5): e1826–e1829. doi:10.7205/MILMED-D-16-00359. ISSN 0026-4075.
- ↑ Ringhouse, Brendan; Jackson, Cody (2017). "Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget–Schroetter Syndrome) in the Military Population, a Case Study". Military Medicine. 182 (5): e1826–e1829. doi:10.7205/MILMED-D-16-00359. ISSN 0026-4075.
- ↑ Ringhouse, Brendan; Jackson, Cody (2017). "Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget–Schroetter Syndrome) in the Military Population, a Case Study". Military Medicine. 182 (5): e1826–e1829. doi:10.7205/MILMED-D-16-00359. ISSN 0026-4075.
- ↑ Ringhouse, Brendan; Jackson, Cody (2017). "Bringing to Light Symptoms and Treatments of Effort Thrombosis (Paget–Schroetter Syndrome) in the Military Population, a Case Study". Military Medicine. 182 (5): e1826–e1829. doi:10.7205/MILMED-D-16-00359. ISSN 0026-4075.
- ↑ Hangge, Patrick; Rotellini-Coltvet, Lisa; Deipolyi, Amy R.; Albadawi, Hassan; Oklu, Rahmi (2017). "Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes". Cardiovascular Diagnosis and Therapy. 7 (S3): S285–S290. doi:10.21037/cdt.2017.08.15. ISSN 2223-3652.