Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)1990-472XФедеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации1100810.18499/1990-472X-2025-26-3-45-49Paget-schretter syndrome in the practice of a district physician: a clinical caseBalashovaMarina Evgenievna<p>PhD, Associate Professor at the Department of Polyclinic Therapy, General Medical Practice, and Preventive Medicine</p>mbalashova13@mail.ruRyaboshapkoAlevtina Ivanovna<p>PhD, Associate Professor at the Department of Polyclinic Therapy, General Medical Practice, and Preventive Medicine</p>alla.ryaboshapko@yandex.ruGubanovaGalina Vitalevna<p>PhD, Associate Professor at the Department of Polyclinic Therapy, General Medical Practice, and Preventive Medicine</p>elzagu@yandex.ruFederal State Budgetary Educational Institution of Higher Education Saratov State Medical University named after V.I. Razumovsky of the Russian Ministry of Health10112025263454902102025Copyright © 2025, Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ)2025<p>A rare clinical case of Paget-Schroetter syndrome, which refers to primary deep vein thrombosis of the upper limb, is described. This disease is of interest because its development is associated with intense physical activity on the upper shoulder girdle, usually observed in young people. In the described clinical case, the symptom complex of acute thrombosis of the veins of the right upper limb appeared against the background of intense physical activity and an increase in muscle mass of the upper shoulder girdle. During the examination of the patient, no factors predisposing to the development of thrombosis were identified, an examination for thrombophilia and antiphospholipid syndrome was conducted, and secondary (autoimmune) genesis of thrombosis was excluded. 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