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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 67 No. 5, 2013.

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CALCIFIED DEEP VEIN THROMBOSIS IN A PATIENT WITH RECURRENT DEEP VEIN THROMBOSIS AND SARCOIDOSIS

DUBRAVKA ŽUPANIĆ KRMEK orcid id orcid.org/0000-0003-2809-6449 ; Sveti Duh University Hospital, Clinical Department of Internal Medicine, Division of Hematology and Coagulation, Zagreb, Croatia
IVANA BRAJKOVIĆ ; Sveti Duh University Hospital, Clinical Department of Internal Medicine, Division of Hematology and Coagulation, Zagreb, Croatia
DINKO BEKIĆ ; Sveti Duh University Hospital, Clinical Department of Internal Medicine, Division of Hematology and Coagulation, Zagreb, Croatia
ANTUN KRNIĆ ; Department of Radiology, Zagreb, Croatia
PETAR JURKOVIĆ ; Department of Radiology, Zagreb, Croatia
TOMISLAV PAVLOVIĆ ; Department of Radiology, Zagreb, Croatia

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Abstract

In this article, we present a rare case of calcified deep vein thrombosis in a 42-year-old female patient with frequent relapses of pulmonary sarcoidosis since 1995, for which she was on maintenance therapy with corticosteroids and with consequential secondary diabetes. Recent femoral vein thrombosis was diagnosed with color Doppler in 2012. At the same time, calcified occlusive thrombus in vena cava inferior from the level of renal vein to the confluence of hepatic veins was diagnosed on abdominal multi-slice computed tomography (MSCT). Digital subtraction venography (DSV) revealed a well-developed collateral circulation through the paravertebral veins, azygos and hemiazygos vein. There were no risk factors for thrombosis other than sarcoidosis and diabetes. Deep vein thrombosis is rarely described with sarcoidosis, but according to literature reports, it usually appears as a recurrence and simultaneously at multiple locations. According to the current knowledge, we cannot say for sure whether it is a disease with an increased risk of deep vein thrombosis or there is a combination of multiple risk factors present simultaneously.

Keywords

sarcoidosis; recurrent deep vein thrombosis; vena cava inferior thrombosis; calcified vein thrombosis

Hrčak ID:

117917

URI

https://hrcak.srce.hr/117917

Publication date:

19.3.2014.

Article data in other languages: croatian

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