Post-thrombotic syndrome.

Abstract:

:Post-thrombotic syndrome (PTS) is a potentially disabling complication occurring in up to 67% of adult patients following deep venous thrombosis (DVT). PTS has recently been recognised in children. We present three cases of symptomatic PTS in children, which occurred following the use of central venous lines (CVLs). In two cases, no symptoms of acute thrombosis were noted. The cases highlight the clinical presentation of this syndrome. A review of the literature revealed two reports describing PTS occurring in children following DVT with an estimated incidence of 7-12%. It is concluded that PTS is an important complication of DVT in children. The clinical findings of pain, swelling, and brawny induration are similar to adult patients. The effect on growing limbs is not known. Paediatricians should be aware of the potential of PTS in all children who are at risk of DVT, including patients with malignancy, congenital heart disease, and children who have had previous CVLs, even in the absence of documented acute DVT.

journal_name

Arch Dis Child

authors

Barnes C,Newall F,Monagle P

doi

10.1136/adc.86.3.212

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

212-4

issue

3

eissn

0003-9888

issn

1468-2044

journal_volume

86

pub_type

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