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During consultations, she was slighty symptomatic. Duplex ultrasound showed axillary\u2013subclavian thrombosis and computerized tomography scan (CT) phlebography revealed bilateral dynamic vTOS. Anticoagulation and thrombectomy were performed, with planned surgical decompression. The diagnosis was triggered by patient-provided photographs capturing intermittent symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PSS may be missed in mild to moderate symptomatic ED presentations. Early vascular imaging and careful history-taking, including patient photographs, can enable timely treatment and prevent complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12245-026-01282-2","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:06:10Z","timestamp":1783008370000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intermittent upper limb cyanosis revealing Paget\u2013Schroetter syndrome: the value of patient-provided photographs"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2841-8107","authenticated-orcid":false,"given":"Marine","family":"Desjardins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Casutt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Fresa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7918-0793","authenticated-orcid":false,"given":"Jean","family":"Perentes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7116-1846","authenticated-orcid":false,"given":"Adriano","family":"Alatri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6362-1275","authenticated-orcid":false,"given":"Pierre-Nicolas","family":"Carron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"1282_CR1","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.avsg.2020.07.029","volume":"70","author":"KA Illig","year":"2021","unstructured":"Illig KA, Rodriguez-Zoppi E, Bland T, Muftah M, Jospitre E. 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