Deep Vein Thrombosis and Diabetes Mellitus Type 2 as Complications of Psoriatic Arthritis: A Case Report
Keywords:Cardiovascular Event, Deep Vein Thrombosis, Diabetes Mellitus, Major Adverse Cardiovascular Events, Psoriatic arthritis
A woman, 45 years old, complained of low back pain that improves with activity or analgesic and
reoccurs when resting. The patient also complained of swollen joints, fever, shortness of breath, flaky
skin and fragile nails. Physical examination found multiple inflamed joints, thickened and fragile
nails, fever, limited range of movement of knee and ankle and positive Homan sign. Workup found
negative anti-rheumatoid factor, increased blood sugar level, increased erythrocyte sedimentation rate,
increased C-reactive protein, bacteria in urine, increased D-dimer, and imaging of lumbar spondylosis
and sacroiliitis, and deep vein thrombosis in the left inferior limb using Doppler ultrasonography. The
patient was diagnosed as psoriatic arthritis, deep vein thrombosis, type 2 diabetes mellitus, and urinary
tract infection. The patient was given sulfasalazin, fondaparinux, warfarin, insulin, and antibiotic. On
the 15th day of treatment, the patient experienced sudden shortness of breath and chest pain. The patient
died due to suspected cardiovascular event.
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