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What Can Cause A Consistently Elevated D-dimer? My Level Can

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Posted on Sun, 15 Sep 2019
Question: What can cause a consistently elevated D-dimer? my level can be checked any day anytime and will be elevated. I have never had a clinical clot.
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to 'Ask a Doctor' service!

Regarding your concern, I would explain that this condition could be related to a chronic inflammatory disorder or chronic thrombogenic disorder.

I would like to know more about your past medical history and complaints.

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka
Cardiologist



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ilir Sharka (21 hours later)
APLS-normal.
ana-negetive.
no celiacs
muscle pain
joint pain both large and small
doctor
Answered by Dr. Ilir Sharka (14 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Your symptoms seem to be related to chronic inflammation (probably arthritis), although XXXXXXX result normal.

I would recommend consulting with a Rheumatologist and performing further tests in order to investigate the possible underlying cause underlying your complaints (Rheumatoid factor, CPK, LDH, uric acid plasma levels, etc.).

Besides, after reviewing your photo, I would explain that there are some skin changes suggestive of livedo reticularis, which could be related to a rheumatological disorder or chronic vein insufficiency.

For this reason, a Doppler ultrasound of the leg vessels is necessary too.

Hope to have been helpful!

Wishing all the best,

Dr. Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (15 hours later)
I have consulted with a rheumatologist.
uric acid normal
ldh within acceptable parameters
Rh negetive
ESR-normal
CRP-normal
SED-normal
Lupus antigen nonreactive
thyroid normal

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Follow up: Dr. Ilir Sharka (1 minute later)
could you explane chronic vein insufficiency?
doctor
Answered by Dr. Ilir Sharka (13 hours later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Chronic vein insufficiency means that your veins are dilated and they do not pump blood normally. As a result, your legs get swollen after standing up for a long time.

A Doppler ultrasound of the leg vessels would help examine the blood flow in your veins and exclude this disorder.

Anyway, I would recommend taking daily baby aspirin, as long as no other cause underlying increased D dimmer levels is found.

It is also important taking plenty of water in order to avoid dehydration.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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What Can Cause A Consistently Elevated D-dimer? My Level Can

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome to 'Ask a Doctor' service! Regarding your concern, I would explain that this condition could be related to a chronic inflammatory disorder or chronic thrombogenic disorder. I would like to know more about your past medical history and complaints. I remain at your disposal for any further questions whenever you need! Kind regards, Dr.Ilir Sharka Cardiologist