The Japanese Journal of Dermatology
Online ISSN : 1346-8146
Print ISSN : 0021-499X
ISSN-L : 0021-499X
Original Articles
Three Cases That Developed Pulmonary Thromboembolism or Deep Vein Thrombosis during Treatments for Skin Diseases
Mariko Toyono-Nikaido, Takayuki Konno, Junko Yoshizawa, Makiko Yamada, Tamio Suzuki
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2011 Volume 121 Issue 2 Pages 167-174

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Abstract
Case 1) A 72-year-old man with extramammary Paget carcinoma suddenly complained of right chest pain one week postoperatively later. A CT scan showed a right pulmonary artery thrombus. We started anticoagulation and utilized a temporary inferior vena cava filter. Case 2) An 82-year-old man suffered a general scald (50%). Protracted bed rest treatment included a central venous catheter in his left femoral vein. A left external iliac vein thrombus was detected by CT after six weeks. Anticoagulation was started, but a CT after 12 weeks revealed a thrombus in his inferior vena cava because we were not able to effectively treat this complication coincidence. Case 3) An 85-year-old woman with pemphigus vulgaris developed DIC during primary disease control by steroid. Protracted bed rest included a central venous catheter in her right femoral vein. A right external iliac vein thrombus was detected by CT after five weeks later. We started anticoagulation and applied a lasting inferior vena cava filter. Recently, there have been increases in operations in high-risk, aging patients, and physicians should always consider the possibility of pulmonary thromboembolism and deep vein thrombosis as complications during treatments for skin diseases.
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© 2011 Japanese Dermatological Association
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