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Case report: lower extremity deep vein thrombosis following an intense calf workout.

机译:病例报告:小腿剧烈运动后下肢深静脉血栓形成。

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We report a case of a high-performance athlete with hemoglobin SC who presented with asymmetric calf soreness after an intense calf workout. By ultrasonography, he was diagnosed with a deep vein thrombosis (DVT) of his right calf. Subsequently he presented with a number of sequelae of sickle cell disease: acute chest syndrome, avascular necrosis of the hips, and chronic kidney disease. The case is instructive as an example of DVT after exercise of the lower extremities, which has not been documented well. The case also illustrates a number of health sequelae of sickle cell disease that mimic more common musculoskeletal complaints. Sports medicine providers will have to consider these uncommon but profound diagnostic entities when caring for athletes with sickle cell disease. The case further highlights how research can inform the clinical decisions and policies aimed at reducing the risk of life-threatening and lifelong sequelae of sickle cell disease in athletes.
机译:我们报告一例高性能的血红蛋白SC运动员,经过剧烈的小腿锻炼后出现不对称的小腿酸痛。通过超声检查,他被诊断出右小腿深静脉血栓形成(DVT)。随后,他出现了许多镰状细胞病的后遗症:急性胸综合症,臀部无血管坏死和慢性肾脏病。该案例具有指导意义,可作为下肢运动后进行DVT的一个例子,目前尚无很好的证据。该病例还说明了镰状细胞疾病的许多健康后遗症,它们模仿了更常见的肌肉骨骼疾病。运动医学提供者在照顾患有镰状细胞病的运动员时必须考虑这些罕见但深刻的诊断实体。该案例进一步凸显了研究如何为旨在减少运动员生命危险和终身镰状细胞病后遗症的风险的临床决策和政策提供信息。

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