Long A, Bura-Riviere A, Sapoval M
Service de Radiologie Cardio-Vasculaire, Assistance Publique des Hôpitaux de Paris, INSERM, Hôpital Européen Georges Pompidou.
J Mal Vasc. 2004 Feb;29(1):39-40. doi: 10.1016/s0398-0499(04)96711-x.
We report a case of isolated plantar venous thrombosis in a young female with no recent history of surgery or trauma who complained of spontaneous left talalgia. She was treated with aspirin for a lupus anticoagulant. The diagnosis was established on the basis of color duplex ultrasonography. The patient was given long-term oral anticoagulants in accordance with international recommendations. Veins other than the usually examined regions, such as plantar veins, should be explored in patients with a known thrombophilic condition who present spontaneous talalgia. Presence of an isolated plantar venous thrombus in a patient with no known coagulation abnormality is suggestive of thrombophilic disease.
我们报告一例年轻女性孤立性足底静脉血栓形成病例，该患者近期无手术或外伤史，主诉自发性左足跟痛。她因狼疮抗凝物接受阿司匹林治疗。诊断基于彩色双功超声检查确定。根据国际建议，给予该患者长期口服抗凝剂。对于有已知血栓形成倾向且出现自发性足跟痛的患者，应探查除通常检查区域（如足底静脉）以外的静脉。在无已知凝血异常的患者中出现孤立性足底静脉血栓提示存在血栓形成倾向疾病。
