Presentation
Women presented at a younger age compared with men (38.7 14.0 years vs 46.2 16.9 years; P .02). [ncbi.nlm.nih.gov]
Jaw & Teeth
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Oral Ulcers
In the interim, he had been diagnosed with Behcet's disease by a rheumatologist who was consulted due to oral ulcers and skin lesions and accordingly started on prednisone, colchicine, and azathioprine. [ncbi.nlm.nih.gov]
Skin
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Chronic Dermatitis
More delayed symptoms can occur in the legs as well, including heaviness and fatigue, chronic dermatitis, skin ulcers or wounds of the ankles and feet, leg asymmetry, and chronic leg pain or swelling. [cardiovascularaustin.com]
Musculoskeletal
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Thigh Pain
A 59-year-old patient presented to the chronic pain clinic with a 6-week history of worsening lumbar back pain, bilateral thigh pain, and unilateral radiculopathy. [ncbi.nlm.nih.gov]
Neurologic
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Expressive Aphasia
Case Presentation A 45-year-old Hispanic female presented to our community hospital with sudden onset of expressive aphasia, dysarthria and right upper extremity weakness. This patient was last known well one hour prior to arrival. [cureus.com]
Workup
We review the differential diagnosis, diagnostic workup, and initial ED management of deep venous thrombosis and provide a brief discussion of May-Thurner syndrome and the association of isotretinoin and vascular thrombi. [ncbi.nlm.nih.gov]
In patients presenting with stroke or TIA where the initial workup is negative, further workup should include echocardiogram with bubble studies to look for a PFO. TTE with bubble study is the more popular initial test used to diagnose PFO. [hindawi.com]
After discovering May Thurner syndrome, most experts would recommend a workup looking for other risk factors for clot formation. This is often called a hypercoagulable workup. [verywellhealth.com]
Treatment
The patient was discharged home with anticoagulation treatment and compression stocking. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis Because of the high prevalence of asymptomatic iliac vein compression, follow up is not necessary unless the patient is symptomatic from the process. [radiopaedia.org]
The prognosis for patients with May-Thurner syndrome is usually good, particularly if the syndrome is diagnosed and treated in its early stages. [minimallyinvasivevascularcenters.com]
Because patients with chronic venous disease are young and have excellent life expectancy and a favorable prognosis, venous stenting must be offered to maintain clinical improvement and high rates of patency in the long term. [vasculardiseasemanagement.com]
Etiology
BACKGROUND The etiology of deep venous thrombosis (DVT) may pose a significant diagnostic challenge because truly reversible causes of DVT are rare. [ncbi.nlm.nih.gov]
(August 23, 2019) May-Thurner Syndrome and Patent Foramen Ovale: A Rare Etiology of Cryptogenic Stroke. [cureus.com]
Epidemiology
KEYWORDS: Combined modality therapy; constriction, pathologic/complications/diagnosis/epidemiology/therapy; edema/etiology/pathophysiology; iliac vein/pathology/ultrasonography; lower extremity/blood supply; magnetic resonance angiography; peripheral [ncbi.nlm.nih.gov]
Our goal is to raise awareness of MTS and spark additional research into the epidemiology of this condition, which may be an underappreciated causative venous thromboembolism risk factor. [onlinelibrary.wiley.com]
The epidemiology of venous thromboembolism. Circulation 2003 ; 107 : I-4 – 8. 2 Virchow RR. Cellular Pathology. London, Churchill, 1860. 3 Homans J. Thrombosis of the deep leg veins due to prolonged sitting. [academic.oup.com]
Epidemiology[edit] May–Thurner syndrome (MTS) is thought to represent between two and five percent of lower-extremity venous disorders. [en.wikipedia.org]
Pathophysiology
The current pictorial essay will review the pathophysiology, imaging, and treatment of MTS. KEYWORDS: Computed tomography; Deep vein thrombosis; Iliac vein compression syndrome; May–Thurner syndrome [ncbi.nlm.nih.gov]
ANATOMY AND PATHOPHYSIOLOGY Iliac vein compression was first described in the 19th century by Virchow. [accesssurgery.mhmedical.com]
Prevention
Prevention and follow-up utilize periodic venous ultrasound imaging. [vascularhealthclinics.org]
Early recognition of May-Thurner could prevent a DVT and provide symptomatic relief. [ncbi.nlm.nih.gov]
She reported that she had been walking her dog when the sharp pain occurred and prevented her from walking any further. [journals.lww.com]