Thrombosis is a rare cause of superior vena cava syndrome (SVCS). A 43-year-old male patient with SVCS due to thrombosis underwent investigation for the etiology of thrombus formation. He had been hospitalized several times because of lead intoxication in the past. Lead has a known thrombogenetic effect experimentally. This patient with superior vena cava thrombosis had thrombophilia that was probably due to lead intoxication. The etiologies of venous throm bosis and thrombogenetic effect of chronic lead exposure are discussed.
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References
1.
Srianujata S. : Lead: The toxic metal to stay with humanJ Toxicol Sci23 (suppl 2) :237-240, 1998.
2.
Dempke W., Behrmann C., Schober C., et al: Diagnostic and therapeutic management of the superior vena cava syndromeMed Klin94:681-684, 1999.
3.
Muckart DJ, Neijenhuis PA, Madiba TE: Superior vena caval thrombosis complicating central venous catheterisation and total parenteral nutritionS Afr J Surg36:48-51, 1998.
4.
Teofili L., De Stefano V., Leone G., et al: Hematological causes of venous thrombosis in young people: High incidence of myeloproliferative disorder as underlying disease in patients with splanchnic venous thrombosisThromb Haemost67:297-301, 1992.
5.
Adult Blood Lead Epidemiology and Surveillance-United States, second and third quarters, 1998, and annual 1994-1997MMWR48:213-216, 1999.
6.
Myslytskyi VF , Podolian SK: Pathological changes in thrombocyte-vascular and coagulative hemostasis under the influence of lead chloride and their correction by using a synthetic analog of prostacyclinFiziol Zh45:99-104, 1999.
7.
Khachirov DG , Gracheva AI: Ultrastructure of the cells of the peripheral blood in experimental lead poisoningFarmakol Toksikol38:465-467, 1975.
8.
al Dhaheri AH , el-Sabban F., Fahim MA: Chronic lead treatment accelerates photochemically induced platelet aggregation in cerebral microvessels of mice, in vivoEnviron Res69:5, 1995.
9.
Viader F., Bakchine S., Gaudin H., et al: Lead encephalopathy with thrombosis of the superior longitudinal sinusAnn Med Int136:401-404, 1985.
10.
Goehl TJ: Reviews in environmental health, 2000Environ Health Perspect108 (suppl 1):3-4, 2000.