PT - JOURNAL ARTICLE AU - Riju Ramachandran AU - Anoop Vasudevan Pillai AU - Suyambu Raja AU - Sailakshmi Sailesh TI - Axillary artery thrombosis resulting in upper limb amputation as a COVID-19 sequela AID - 10.1136/bcr-2020-240981 DP - 2021 Jan 01 TA - BMJ Case Reports PG - e240981 VI - 14 IP - 1 4099 - http://casereports.bmj.com/content/14/1/e240981.short 4100 - http://casereports.bmj.com/content/14/1/e240981.full SO - BMJ Case Reports2021 Jan 01; 14 AB - Novel COVID-19 continues to intrigue medical professionals with its varied presentations. Though it affects the respiratory tract primarily, thrombogenesis has been the Achilles’ heel. A 44-year-old man diagnosed with COVID-19 presented with upper limb pain at a local hospital and was found to have thrombosis of the right axillary artery. Despite a successful embolectomy at the local hospital, there was re-occlusion of the axillary artery and the limb became ischaemic. He was referred to our institution by which time the limb became gangrenous above the elbow and had to be amputated. Extensive sloughing of the nerves was also seen in the local area. Hypercoagulability presenting with various manifestations is common in COVID-19 and needs early anticoagulation. We present this asymptomatic patient who lost a limb to this COVID-19 sequelae.