The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 55 , Issue 6
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Original Article
  • Ai Komaki, Tokio Hayashi, Hiromi Hirase, Takeshi Fujita, Mari Torii, A ...
    2015 Volume 55 Issue 6 Pages 91-94
    Published: 2015
    Released: July 10, 2015
    Lower leg swelling is one of the physical findings of deep vein thrombosis (DVT). However, limb swelling is a frequent complaint and lacks in specificity. Between April 2011 and March 2014, a total of 597 consecutive patients with swollen leg underwent duplex sonography (221 men and 376 women; mean age 72.5 ± 12.1 years). Patients were divided into a bilateral swelling group and a unilateral swelling group, each was subdivided into two groups (with or without DVT). Furthermore, we investigated other thrombotic risk factors, location of thrombus, and D-dimer level. DVT was more frequent in females. Prevalence of DVT in unilateral swelling patients was significantly higher than those in bilateral swelling patients. D-dimer level was higher in patients with proximal DVT compared with those with calf DVT. In patients with swollen leg, we could suggest that the diagnosis of DVT should be considered based on laterality, D-dimer level, and thrombotic risk factors.
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