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KMID : 0882420120820060774
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Korean Journal of Medicine
2012 Volume.82 No. 6 p.774 ~ p.777
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A Case of May-Thurner Syndrome with Systemic Lupus Erythematosus in Antiphospholipid Syndrome
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Kim Ji-Hun
Kang Jong-Wan
Bae Gi-Bum
Lee Jong-Min
Lim Churl-Hyun
Nam Eon-Jeong
Kang Young-Mo
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Abstract
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May-Thurner syndrome, which refers to an iliofemoral venous thrombosis caused by chronic compression of the left common iliac vein by the right common iliac artery, usually manifests as left lower extremity pain and swelling. The syndrome is particularly evident in patients with health conditions including obesity, smoking, pregnancy, surgery, or prolonged immobility. Antiphospholipid syndrome consists of arterial or venous thrombosis and the association of lupus anticoagulant or anticardiolipin antibodies. Most common clinical manifestations include pregnancy loss and deep vein thrombosis. We experienced a rare case of May-Thurner syndrome concurrent with antiphospholipid syndrome, secondary to systemic lupus erythematosus. The patient was treated successfully by catheter-directed percutaneous thrombectomy, venous thrombolysis, and stent insertion, followed by oral anticoagulant therapy.
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KEYWORD
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Postthrombotic syndrome, Antiphospholipid syndrome, Lupus erythematosus, Systemic
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