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The Thrombosis Clinic sees patients with a variety of conditions including:

Thrombosis (Blood clots):

  • DVT (deep vein thrombosis) of leg or arm
  • Lung (PE = pulmonary embolism)
  • Brain
    • stroke in a young person
    • sinus vein thrombosis,
    • cerebral vein thrombosis
  • Superficial thrombophlebitis
  • Eye (retinal vein or artery thrombosis)
  • Abdominal blood clots
    • Budd-Chiari syndrome (hepatic vein thrombosis)
    • Mesenteric vein or artery thrombosis
    • Portal vein thrombosis
    • Splenic vein thrombosis
    • Renal vein or artery thrombosis
    • Ovarian and testicular vein or artery thrombosis
  • Heart attack (MI) in individuals without significant arteriosclerosis (hardening of the arteries)
  • Peripheral artery thrombosis (gangrene) without significant arteriosclerosis (hardening of the arteries)
  • Postthrombotic syndrome, postphlebitic syndrome, venous insufficiency
  • Non-diabetic, unexplained skin ulcers
  • “purple toe” syndrome

Clotting Disorders

  • Thrombophilia (Clotting disorder) work-up
  • Factor V Leiden
  • Prothrombin mutation (factor II mutation)
  • Antiphospholipid antibody syndrome
    • Anticardiolipin antibodies
    • Lupus anticoagulant
    • Anti-beta-2-glycoprotein I antibodies
  • Homocysteine, MTHFR
  • Protein C deficiency
  • Protein S deficiency
  • Antithrombin III deficiency
  • Elevated factor 8
  • Myeloproliferative disorders
    • Essential Thrombocytosis
    • Polycythemia Vera

Pregnancy Complications

  • Clotting disorder, planning pregnancy or now pregnant
  • Unexplained pregnancy loss (miscarriages) + clotting disorder
  • Intrauterine growth restriction (small for age baby) + clotting disorder
  • “Can I safely go on birth control pill, hormone replacement therapy?”

Family History

  • Blood clots
  • Inherited clotting tendency (thrombophilia)

Warfarin (Coumadin®)

  • Recommendations for staying on or coming off warfarin (coumadin®) if a history of blood clots
  • Difficult to control warfarin (coumadin®)
  • However: the Thrombosis Clinic is not a coumadin® or anticoagulation clinic for continuous warfarin (coumadin®) monitoring and management (there is the coumadin® clinic in the UNC ACC General Medicine, Dr. Betsy Bryant, tel: 966-6989 or 843-4170) and in Family Medicine (Sarah Ford, pharmD, tel: 919.843.8408)