Abstract
Thrombosis due to hypercoagulable state is an important cause of morbidity and mortality in coronavirus disease 2019 (COVID-19).
 Increased D-dimer levels are an important marker of the presence and risk of thrombosis. In this report, we present that a 59-yearold
 male patient developed thrombosis in the distal radial arteries despite normal D-dimer level. The patient was treated with
 enoxaparin, iloprost infusion, and cilostazol. This case should lead us to be very careful that people diagnosed with COVID-19 with
 normal D-dimer levels may also have thrombosis.
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