Ağırman Mehmet, Tolu Sena, Başkan Özdil, Üstün Işıl
Department of Physical Medicine and Rehabilitation, İstanbul Medipol University, İstanbul, Turkey.
Department of Radiology, İstanbul Medipol University, İstanbul, Turkey.
Turk J Phys Med Rehabil. 2017 May 3;63(3):272-274. doi: 10.5606/tftrd.2017.17802. eCollection 2017 Jun.
Upper limb occlusions are rare and the clinical presentation may vary depending on the affected arteries. A detailed history and physical examination may reveal possible causes and can facilitate the differential diagnosis. It can be misdiagnosed as musculoskeletal diseases due to similar clinical manifestations. In this report, we present a case with wrist pain mimicking de Quervain's syndrome diagnosed as subacute brachial artery thrombosis due to factor II gene mutation. In conclusion, physicians should be cautious to avoid unnecessary delay in the diagnosis of thrombosis in young patients.
上肢闭塞很少见，临床表现可能因受累动脉不同而有所差异。详细的病史和体格检查可能揭示潜在病因并有助于鉴别诊断。由于临床表现相似，上肢闭塞可能被误诊为肌肉骨骼疾病。在本报告中，我们呈现了一例因II因子基因突变导致亚急性肱动脉血栓形成、表现为类似桡骨茎突狭窄性腱鞘炎的腕部疼痛病例。总之，医生应谨慎诊断，避免年轻患者血栓形成的诊断出现不必要的延误。
