Prolonged Lower Extremity Symptoms Post-covid-19 In An Adolescent: A Missed Diagnosis

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Prolonged Lower Extremity Symptoms Post-covid-19 In An Adolescent: A Missed Diagnosis - Page #3

Lab Studies: A complete blood count and comprehensive metabolic panel were unremarkable. Hypercoagulable workup was negative for Protein C deficiency, Protein S deficiency, Antithrombin III deficiency, Factor V Leiden, and Prothrombin gene mutations. Positive for Lupus anticoagulant. The patient tested negative for antinuclear antibodies, anti-double-stranded DNA, and anti-cardiolipin antibodies. Other Studies: Right Lower Extremity MRI (2020) Coronal T2 weighted images of the tibula-fibula showing extensive soft tissue edema and bone marrow edema of the proximal tibia Case Photo #1 . Right lower extremity venous doppler ultrasound revealed extensive non-occlusive filling defects involving the internal iliac and external iliac veins and occlusive thrombus in the femoral iliac vein. Case Photo #2 . Consultations: Hematology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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