To describe the case of a young female patient, affected by Systemic Lupus Erythematous, hospitalized for severe SARS-CoV-2 infection pneumonia and presenting a treatment-resistant acute upper limb ischemia. Two days after hospital admission, the patient suffered sudden right upper limb pain associated with mild functional impairment. At physical examination, radial and ulnar pulses were absent, and no flow signal was detected at duplex ultrasound scan. Therefore, an acute limb ischemia diagnoses was posed. Despite several surgical and endovascular revascularization attempts, the patient underwent an above the elbow amputation in 10th postoperative day from first surgical embolectomy, and she died for respiratory failure 25 days after hospitalization. Our case of acute upper limb ischemia seems to confirm that clinical manifestation and fate of thrombotic disorder in COVID-19 patients could be precipitated by concomitant autoimmune diseases.

Treatment-Resistant Acute Upper Limb Ischemia in a Patient With Systemic Lupus Erythematous and Concomitant SARS-CoV-2 Infection. A Case Report / Nespola, Martina; Sirignano, Pasqualino; Fermani, Nicoletta; Battocchio, Cesare; Tosti, Filomena; Pranteda, Chiara; Taurino, Maurizio. - In: ANNALS OF VASCULAR SURGERY. - ISSN 1615-5947. - S0890-5096(21)00448-9:(2021), pp. 1-4. [10.1016/j.avsg.2021.05.012]

Treatment-Resistant Acute Upper Limb Ischemia in a Patient With Systemic Lupus Erythematous and Concomitant SARS-CoV-2 Infection. A Case Report

Martina Nespola
Primo
Writing – Original Draft Preparation
;
Pasqualino Sirignano
Secondo
Writing – Review & Editing
;
Cesare Battocchio;Chiara Pranteda;Maurizio Taurino
Ultimo
Supervision
2021

Abstract

To describe the case of a young female patient, affected by Systemic Lupus Erythematous, hospitalized for severe SARS-CoV-2 infection pneumonia and presenting a treatment-resistant acute upper limb ischemia. Two days after hospital admission, the patient suffered sudden right upper limb pain associated with mild functional impairment. At physical examination, radial and ulnar pulses were absent, and no flow signal was detected at duplex ultrasound scan. Therefore, an acute limb ischemia diagnoses was posed. Despite several surgical and endovascular revascularization attempts, the patient underwent an above the elbow amputation in 10th postoperative day from first surgical embolectomy, and she died for respiratory failure 25 days after hospitalization. Our case of acute upper limb ischemia seems to confirm that clinical manifestation and fate of thrombotic disorder in COVID-19 patients could be precipitated by concomitant autoimmune diseases.
2021
covid 19; sars-cov-2; acute limb ischemia; arterial thrombosis
01 Pubblicazione su rivista::01i Case report
Treatment-Resistant Acute Upper Limb Ischemia in a Patient With Systemic Lupus Erythematous and Concomitant SARS-CoV-2 Infection. A Case Report / Nespola, Martina; Sirignano, Pasqualino; Fermani, Nicoletta; Battocchio, Cesare; Tosti, Filomena; Pranteda, Chiara; Taurino, Maurizio. - In: ANNALS OF VASCULAR SURGERY. - ISSN 1615-5947. - S0890-5096(21)00448-9:(2021), pp. 1-4. [10.1016/j.avsg.2021.05.012]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1571259
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