Article ; Online: Treatment-Resistant Acute Upper Limb Ischemia in a Patient With Systemic Lupus Erythematous and Concomitant SARS-CoV-2 Infection: A Case Report.
2021 Volume 76, Page(s) 289–292
Abstract: ... hospitalized for severe SARS-CoV-2 infection pneumonia and presenting a treatment-resistant acute upper limb ... failure 25 days after hospitalization. Our case of acute upper limb ischemia seems to confirm ... To describe the case of a young female patient, affected by Systemic Lupus Erythematous ...
| Abstract | To describe the case of a young female patient, affected by Systemic Lupus Erythematous, hospitalized for severe SARS-CoV-2 infection pneumonia and presenting a treatment-resistant acute upper limb ischemia. Two days after hospital admission, the patient suffered sudden right upper limb pain associated with mild functional impairment. At physical examination, radial and ulnar pulses were absent, and no flow signal was detected at duplex ultrasound scan. Therefore, an acute limb ischemia diagnoses was posed. Despite several surgical and endovascular revascularization attempts, the patient underwent an above the elbow amputation in 10th postoperative day from first surgical embolectomy, and she died for respiratory failure 25 days after hospitalization. Our case of acute upper limb ischemia seems to confirm that clinical manifestation and fate of thrombotic disorder in COVID-19 patients could be precipitated by concomitant autoimmune diseases. |
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| MeSH term(s) | Acute Disease ; Amputation ; COVID-19/complications ; COVID-19/diagnosis ; COVID-19/therapy ; Disease Progression ; Embolectomy ; Endovascular Procedures ; Fatal Outcome ; Female ; Humans ; Ischemia/diagnostic imaging ; Ischemia/etiology ; Ischemia/physiopathology ; Ischemia/therapy ; Lupus Erythematosus, Systemic/complications ; Lupus Erythematosus, Systemic/diagnosis ; Middle Aged ; Treatment Outcome ; Upper Extremity/blood supply | |||||
| Language | English | |||||
| Publishing date | 2021-06-25 | |||||
| Publishing country | Netherlands | |||||
| Document type | Case Reports | |||||
| ZDB-ID | 1027366-9 | |||||
| ISSN | 1615-5947 ; 0890-5096 | |||||
| ISSN (online) | 1615-5947 | |||||
| ISSN | 0890-5096 | |||||
| DOI | 10.1016/j.avsg.2021.05.012 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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