Deep-vein thrombosis despite a low D-Dimer level

被引:1
作者
Manckoundia, P. [1 ]
Pfitzenmeyer, P. [1 ]
机构
[1] CHU Dijon, Hop Champmaillot, Serv Med Interne Geriatr, F-21079 Dijon, France
关键词
deep-vein thrombosis; D-Dimer; Liatest D-Dimer;
D O I
10.1016/j.jmv.2007.06.087
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Objective. - Deep-vein thrombosis is common but not easy to diagnose. It is generally considered that the diagnosis can be ruled out in subjects with a D-Dimer level lower than a reference threshold value. We report a case where this hypothesis was misleading. Method. - An 89-year-otd man was hospitalized for a pain in his left tower leg, which had been persistent for 5 days. Results. - The venous duplex ultrasound found two recent deep-vein thrombi in this leg while the D-Dimer level was lower than 220 Ul/ml at admission. Conclusion. - This case illustrates the importance of prudent interpretation of the serum D-Dimer level. (c) 2007 Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码:210 / 211
页数:2
相关论文
共 8 条
[1]   D-dimer in venous thromboembolism [J].
Bockenstedt, P .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (13) :1203-1204
[2]  
BOUNAMEAUX H, 1994, THROMB HAEMOSTASIS, V71, P1
[3]   Can causes of false-normal D-dimer test [SimpliREDS®] results be identified? [J].
Kraaijenhagen, RA ;
Wallis, J ;
Koopman, MMW ;
de Groot, MR ;
Piovella, F ;
Prandoni, P ;
Büller, HR .
THROMBOSIS RESEARCH, 2003, 111 (03) :155-158
[4]   Evaluation of a new, rapid, and quantitative D-Dimer test in patients with suspected pulmonary embolism [J].
Oger, E ;
Leroyer, C ;
Bressollette, L ;
Nonent, M ;
Le Moigne, E ;
Bizais, Y ;
Amiral, J ;
Grimaux, M ;
Clavier, J ;
Ill, P ;
Abgrall, JF ;
Mottier, D .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1998, 158 (01) :65-70
[5]   D-DIMER PLASMA-CONCENTRATION IN VARIOUS CLINICAL CONDITIONS - IMPLICATION FOR THE USE OF THIS TEST IN THE DIAGNOSTIC-APPROACH OF VENOUS THROMBOEMBOLISM [J].
RAIMONDI, P ;
BONGARD, O ;
DEMOERLOOSE, P ;
REBER, G ;
WALDVOGEL, F ;
BOUNAMEAUX, H .
THROMBOSIS RESEARCH, 1993, 69 (01) :125-130
[6]   D-dimer assay for the diagnosis of venous thromboembolism: use in clinical practice [J].
Reber, G ;
Boehlen, F ;
de Moerloose, P .
REVUE DE MEDECINE INTERNE, 1998, 19 (06) :442-444
[7]  
Stern SD, 2004, NEW ENGL J MED, V350, P192
[8]   DIAGNOSIS OF DEEP-VEIN THROMBOSIS USING DUPLEX ULTRASOUND [J].
WHITE, RH ;
MCGAHAN, JP ;
DASCHBACH, MM ;
HARTLING, RP .
ANNALS OF INTERNAL MEDICINE, 1989, 111 (04) :297-304