Phlegmasia cerulea dolens (literally: painful blue edema) is an uncommon severe form of deep venous thrombosis which results from extensive thrombotic. Phlegmasia alba dolens is part of a spectrum of diseases related to deep vein thrombosis. Historically, it was commonly seen during pregnancy and in mothers . The diagnosis of phlegmasia cerulea dolens was made. Systemic and local tissue-plasminogen activator infusion and AngioJet® thrombectomy (AngioJet®.

Author: Kajigami Zuzuru
Country: Paraguay
Language: English (Spanish)
Genre: Politics
Published (Last): 26 November 2010
Pages: 433
PDF File Size: 5.32 Mb
ePub File Size: 1.15 Mb
ISBN: 515-1-48588-122-9
Downloads: 9983
Price: Free* [*Free Regsitration Required]
Uploader: Voodootilar

This section is empty.

Phlegmasia cerulea dolens

flegmasoa Phlegmatia coerulea dolensPhlegmatia caerulea dolens. Usually, it occurs in those afflicted by a life-threatening illness.

Therefore, after normalization of the INR with fresh frozen plasma and vitamin K, a lumbar puncture was performed to rule out meningitis.

This article about a medical condition affecting the circulatory system is a stub. This page was last edited on 9 Julyat Lower extremities of a year-old man presenting with a sudden onset of a swollen, violaceous, and painful left leg, consistent with phlegmasia cerulea dolens.

Two of their HIT patients developed phlegmasia cerulea dolens that went on to become gangrenous. Phlegmasia cerulea dolens PCD is fleg,asia rare form of massive venous thrombosis of the lower extremities associated with a high degree of morbidity including venous gangrene, compartment syndrome, and arterial compromise. Concepts Disease or Syndrome T SnomedCTEnglish Milk-leg, non puerperalnonpuerperal; milk legphlegmasia; alba dolens, nonpuerperalalba dolens; phlegmasia, nonpuerperal Dutch alba dolens; phlegmasia, niet-puerperaalniet-puerperaal; kraambeenphlegmasia; alba dolens, niet-puerperaal.


His international normalized ratio INR was 9.

Images in Emergency Medicine: Phlegmasia Cerulea Dolens

Support Center Support Center. We started the patient on antibiotics and withheld the warfarin. Please review our privacy policy. Systemic inflammation has been shown to result in activation of coagulation due to tissue-factor—mediated thrombin generation and down-regulation of physiological anticoagulant mechanisms. Treatment consists of a multimodal approach, including systemic anticoagulation, catheter-directed thrombolysis, systemic thrombolysis, surgical thrombectomy, and AngioJet thrombectomy.


Inflammation that is characterized by swollen, pale, and painful limb. Farooqui and Frank D. Flegmasia cerulea dolensFlegmasia caerulea dolens. Definition MSH Inflammation that is characterized by swollen, pale, and painful limb. Phlegmasia Alba Dolens C The authors thank Drs.

You can help Wikipedia by expanding it. Ann Intern Med ; 9: Although access to this website is not restricted, the information found here is intended for use by medical providers.

The disease presumably begins with a deep vein thrombosis that progresses to total occlusion of the deep venous system. A Text-book of Medicine. Infobox medical ceerulea new All stub articles. Hypercoagulability a propensity to clot formation is a well-known state that occurs in flfgmasia cancer states.


It is at this stage that it is called phlegmasia alba dolens. This article has been cited by other articles in PMC. A person with a two hour history of phlegmasia cerulea dolens left leg, right side of image.

Retrieved from ” https: The development of a standard treatment for phlegmasia cerulea dolens is ongoing. Related Topics in Cardiovascular Medicine. It cerula a sudden acute process. This article about a disorder arising in the perinatal period is a stub.

Inflammations Vascular diseases Circulatory disease stubs. Surgery – Cardiovascular Medicine Pages.

Vascular and Endovascular Surgery. A Text-book of Obstetrics. Pathophysiology Phlegmasia Milk Leg Venous outflow obstruction Typically left sided due to left common iliac vein course beneath the left common iliac artery Progression along a spectrum Phlegmasia Alba Dolens Phlegmasia Cerulea Dolens Venous Gangrene Phlegmasia Alba Dolens Painful white leg Proximal deep vein obstruction Phlegmasia Cerulea Dolens Triad of painful blue leg with edema Pain out of proportion to appearance Deep vein flefmasia collateral or superficial vein obstruction Results in venous congestion edema which distinguishes it from Phlegmasia Alba Dolens Venous Gangrene Thrombosis extends into the capillaries.