Hyperhomocysteinemia causing Extensive Left Upper Limb Deep Vein Thrombosis- A rare Case Report

Dr Anurag Thakur; Dr Aradhna Sharma; Dr Tarun Sharma

Volume : X, Issue : V, May - 2020

Hyperhomocysteinemia causing Extensive Left Upper Limb Deep Vein Thrombosis- A rare Case Report

Dr Anurag Thakur, Dr Aradhna Sharma, Dr Tarun Sharma

Abstract :

Hyperhomocysteinemia is a common prothrombotic condition predisposing to venous thrombosis. We are reporting a case of hyperhomocysteinemia with extensive left upper limb deep vein thrombosis. A 44–year–old male presented with progressive swelling and pain in his left upper limb. He had marked knuckle hyperpigmentation. His left upper limb doppler ultrasonography was suggestive of dilated left internal jugular vein, subclavian vein , axillary vein, achial vein and cephalic vein with intraluminal contents suggestive of deep vein thrombosis. Blood investigations were suggestive of increased levels of homocysteine. The patient was evaluated extensively but no other cause could be found out. The patient was treated with low molecular weight heparin and oral warfarin along with folic acid.