WEDNESDAY, Might 19, 2021 (HealthDay Information) — Researchers have reported the primary case of COVID-19 inflicting harmful, recurring blood clots in a affected person’s arm.
The report presents new perception into how the injury of inflammation brought on by COVID-19 can linger and the way greatest to deal with recurring clots, the Rutgers College researchers mentioned.
There have been experiences of decrease extremity blood clots in sufferers after COVID-19, however that is the primary identified case through which COVID-19 triggered a blood clot recurrence within the higher arm.
The affected person was an lively 85-year-old man who had a previous prognosis of higher extremity blood clots, based on the research printed on-line just lately within the journal Viruses.
“The affected person offered to his main care doctor with complaints of swelling in his left arm and was despatched to the hospital for additional administration the place he was identified with an higher arm blood clot and an asymptomatic COVID-19 an infection,” mentioned research co-leader Payal Parikh, an assistant professor of medication at Rutgers Robert Wooden Johnson Medical College, in New Jersey.
“Whereas his oxygen ranges weren’t diminished, he was hospitalized for the administration of the higher extremity deep vein blood clot. Usually, blood clots are preceded by power inflammatory circumstances exacerbated by immobility, and infrequently do they happen in sufferers who’re in any other case wholesome and lively at baseline,” Parikh famous in a Rutgers information launch.
Most deep vein blood clots happen within the legs. Solely about 10% of blood clots happen within the arms, and of these circumstances solely 9% recur, the research authors famous.
“That is of concern since in 30% of those sufferers, the blood clot can journey to the lung and be probably deadly,” Parikh mentioned. “Different disabling issues embody persistent swelling, ache and arm fatigue.”
This case research exhibits that well being care suppliers ought to take into account testing for deep vein thrombosis and COVID-19 in sufferers who’ve unexplained swelling, and that individuals who take a look at optimistic for COVID-19 ought to search medical consideration if they’ve declining oxygen ranges, shortness of breath and any unexplained swelling, Parikh suggested.
“In case you have been beforehand identified with deep vein thrombosis or have power medical sickness that predisposes you to blood clots, you’ve gotten the next threat for recurrence of a deep vein thrombus within the setting of a COVID-19 an infection and thus, needs to be vigilant,” Parikh mentioned.
The American Society of Hematology has extra on blood clots.
SOURCE: Rutgers College, information launch, Might 15, 2021