RT Journal Article SR Electronic T1 Axillary artery thrombosis resulting in upper limb amputation as a COVID-19 sequela JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e240981 DO 10.1136/bcr-2020-240981 VO 14 IS 1 A1 Riju Ramachandran A1 Anoop Vasudevan Pillai A1 Suyambu Raja A1 Sailakshmi Sailesh YR 2021 UL http://casereports.bmj.com/content/14/1/e240981.abstract 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.