key: cord-0854327-k66fen94
authors: Shao, Tony; In-Bok Lee, Christina; Jabori, Sinan; Rey, Jorge; Duran, Elizabeth Ramos; Kang, Naixin
title: Acute Upper Limb Ischemia as the First Manifestation in a Patient with COVID-19
date: 2020-08-21
journal: J Vasc Surg Cases Innov Tech
DOI: 10.1016/j.jvscit.2020.08.003
sha: fd641435af52a2f694363a7b101ccdcceb41e3b9
doc_id: 854327
cord_uid: k66fen94

Coronavirus disease 19 (COVID-19) first emerged in December 2019 in China and rapidly spread worldwide. While various studies have reported that COVID-19 is associated with a hypercoagulable state and thrombotic complications in critically ill patients, there are scant case reports on thrombotic events as one of the presenting symptoms. We report a case of acute upper extremity ischemia as the initial clinical presentation of a COVID-19 patient.

However, there are scant reports that highlight acute thrombotic events at initial presentation. We 11 believe that clinicians should be aware of the possibility of acute thrombotic events being one of 12 the initial symptoms of this infection. In this report, we describe an unusual case of a patient who 13 presented with acute unilateral upper extremity ischemia who was diagnosed with COVID-19.

Consent was obtained from the patient for publication. 

Coagulation and Antiphospholipid Antibodies in 12 Patients with Covid-19. NEJM

Thrombotic or Thromboembolic Disease: Implications for Prevention, Antithrombotic Therapy, 15 and Follow-up

World Health Organization, Department of Communications. Clinical management of severe 17 acute respiratory infection (SARI) when COVID-19 disease is suspected

Anticoagulant treatment is associated with 19 decreased mortality in severe coronavirus disease 2019 patients with coagulopathy