Radial arterial thrombosis in COVID-19: A case report

Thrombosis due to hypercoagulable state is an important cause of morbidity and mortality in coronavirus disease 2019 (COVID-19). . Increased D-dimer levels are an important marker of the presence and risk of thrombosis. In this report, we present that a 59-yearold male patient developed thrombosis in the distal radial arteries despite normal D-dimer level. The patient was treated with enoxaparin, iloprost infusion, and cilostazol. This

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  • Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395(10223):497-506. doi:10.1016/s0140-6736(20)30183-5
  • Center JHUC-R. https://www.worldometers.info/coronavirus/countries-where-coronavirus-has-spread/. (Accessed 16 March 2021). 2021.
  • Klok FA, Kruip M, van der Meer NJM, et al. Confirmation of the high cumulative incidence of thrombotic complications in critically ill ICU patients with COVID-19: An updated analysis. Thromb Res 2020;191:148-50. doi:10.1016/j.thromres.2020.04.041
  • Han H, Yang L, Liu R, et al. Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clin Chem Lab Med 2020;58:1116-20. doi:10.1515/cclm-2020-0188
  • Tang N, Li D, Wang X, Sun Z. Abnormal coagulation parameters are associated with poor prognosis in patients with novel coronavirus pneumonia. J Thromb Haemost 2020;18:844-7. doi:10.1111/jth.14768
  • Etkin Y, Conway AM, Silpe J, et al. Acute Arterial Thromboembolism in Patients with COVID-19 in the New York City Area. Ann Vasc Surg 2021;70:290-4. doi:10.1016/j.avsg.2020.08.085
  • Cheruiyot I, Kipkorir V, Ngure B, Misiani M, Munguti J, Ogeng'o J. Arterial Thrombosis in Coronavirus Disease 2019 Patients: A Rapid Systematic Review. Ann Vasc Surg 2021;70:273-81. doi:10.1016/j.avsg.2020.08.087
  • Putko RM, Bedrin MD, Clark DM, Piscoya AS, Dunn JC, Nesti LJ. SARS-CoV-2 and limb ischemia: A systematic review. J Clin Orthop Trauma 2020. doi:10.1016/j.jcot.2020.11.018
  • Prokop M vEW, van Rees Vellinga T, Quarles van Ufford H. CO-RADS: A categorical CT assessment scheme for patients suspected of having COVID-19-Definition and Evaluation 2020;296:E97-e104. doi:10.1148/radiol.2020201473
  • Haimovich AD, Ravindra NG, Stoytchev S, et al. Development and validation of the quick covid-19 severity index: a prognostic tool for early clinical decompensation. Ann Emerg Med 2020;76:442-53. doi:10.1016/j.annemergmed.2020.07.022
  • Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395(10229):1054-62. doi:10.1016/s0140-6736(20)30566-3
  • Vulliamy P, Jacob S, Davenport RA. Acute aorto-iliac and mesenteric arterial thromboses as presenting features of COVID-19. Br J Haematol 2020;189:1053-4. doi:10.1111/bjh.16760
  • Wengerter SP, Wengerter KR, Masoudpoor H, et al. Acute aortoiliac and infrainguinal arterial thrombotic events in four patients diagnosed with the novel coronavirus 2019. J Vasc Surg Cases Innov Tech 2020;6:698-702. doi:10.1016/j.jvscit.2020.09.011
  • Bellosta R, Luzzani L, Natalini G, et al. Acute limb ischemia in patients with COVID-19 pneumonia. J Vasc Surg 2020;72:1864-72. doi:10.1016/j.jvs.2020.04.483
  • Schultz K, Wolf JM. Digital ischemia in COVID-19 patients: Case Report. J Hand Surg Am. 2020;45:518-22. doi:10.1016/j.jhsa.2020.04.024
  • Shah H, Iyer A, Zaghlol R, Raparla S. Case Report: Multiple strokes and digital ischemia in a young COVID-19 patient. Am J Trop Med Hyg 2020. doi:10.4269/ajtmh.20-1101
  • Connolly A, Walsh S, Arya R. Palmar digital vein thrombosis in a patient with COVID-19. Clin Exp Dermatol 2021;46:183-4. doi:10.1111/ced.14442
  • Lodigiani C, Iapichino G, Carenzo L, et al. Venous and arterial thromboembolic complications in COVID-19 patients admitted to an academic hospital in Milan, Italy. Thromb Res 2020;191:9-14. doi:10.1016/j.thromres.2020.04.024