Popliteal adventitial disease in a triathlete
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چکیده
A 37 year old recreational long distance triathlete complained of right leg pain during running since early 2002. The problems mainly occurred when running uphill, with a cramp-like pain and tightness in the anterior and lateral aspect of the right lower leg, associated with a loss of power and numbness in the foot. After periods of rest and treatment with physiotherapy, acupuncture and nutritional supplements running was possible for a short period until the problems started again. Previous medical history revealed three deep venous thromboses (DVT) in the right leg since 1985, the last one in 1995. A factor V mutation had been demonstrated (Factor V-Leiden), for which the patient was on life-long coumarine anti-coagulants. He did not smoke. The right leg showed signs of chronic venous incompetence (oedema, extensive scarring from previous venous ulcers, chronic eczema) with good peripheral pulsations. There were no other abnormal findings.
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