Ahmad Rahal, MD Mahmoud Farhoud, MD Melissa Gaines, MD University of Kansas School of Medicine—Wichita (Drs. Rahal and Gaines); University of Central Florida, College of Medicine, Orlando (Dr. Farhoud) a_rahal@hotmail.com
The authors acknowledge K. James Kallail, PhD (University of Kansas School of Medicine—Wichita) for his assistance in the writing of this manuscript.
The authors reported no potential conflict of interest relevant to this article.
Our patient was started on enoxaparin and warfarin.After 5 days at our hospital, she was taken off the enoxaparin and discharged home on warfarin 5 mg/d.The swelling completely resolved one week later.
THE TAKEAWAY
Ulnar and radial DVT in a patient with factor V Leiden mutation is a rare condition. UEDVT should be included in the differential diagnosis for cellulitis whenever the diagnosis is uncertain or the patient doesn’t respond to antibiotics. Factor V Leiden mutation appears to be a risk factor in UEDVT and testing for it should be considered.
