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

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Posted on Fri, 23 Aug 2019
Twitter Fri, 23 Aug 2019 Answered on
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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
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 : 9504 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