What is the difference between Phlegmasia Alba and Cerulea Dolens?

Phlegmasia alba dolens presents as a triad of edema, pain, and white blanching skin without cyanosis. As the venous thrombosis progresses, it develops into phlegmasia cerulea dolens, which is characterized by edema, worsening pain, and cyanosis from ischemia.

What is phlegmasia cerulea dolens?

Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis (blood clots in the vein). It most often occurs in the upper leg.

What causes phlegmasia cerulea dolens?

Risk factors, present in around 50% of documented cases, include malignancy, hyper-coagulable states, cardiac disease, venous stasis, venous insufficiency, May-Thurner syndrome (right iliac artery compressing the left iliac vein that runs beneath it), surgery, trauma, pregnancy, inferior vena cava (IVC) filter, hormone …

How is Cerulea Dolens diagnosed with Phlegmasia?

To make the correct diagnosis, 4 cardinal signs are necessary: edema, violaceous discoloration, pain, and severe venous outflow obstruction. Risk factors include malignancy, femoral vein catheterization, heparin-induced thrombocytopenia, antiphospholipid syndrome, surgery, heart failure, and pregnancy.

What causes post Phlebitic?

Post-thrombotic syndrome is a condition that can happen to people who have had a deep vein thrombosis (DVT) of the leg. It can cause chronic pain, swelling, and other symptoms in your leg. It may develop in the weeks or months following a DVT. Certain medical conditions increase your chance of getting a DVT.

Does DVT cause gangrene?

Venous gangrene is a rare complication of deep venous thrombosis. It is certain from review of literature that there is a significant causative relationship between malignant disease and venous gangrene.

Can a DVT cause ischemia?

It is a rare life-threatening complication of acute proximal DVT. It can lead to impairment of the arterial circulation, which results in tissue ischemia or limb gangrene.

How is Cerulea Dolens Phlegma treated?

There are two treatment options (endovascular or surgical). In the endovascular era, catheter-directed thrombolysis is the treatment of choice to achieve venous outflow. However, surgical thrombectomy is indicated in certain cases.

What is white leg in pregnancy?

Phlegmasia alba dolens (also colloquially known as milk leg or white leg; not to be confused with phlegmasia cerulea dolens) is part of a spectrum of diseases related to deep vein thrombosis. Historically, it was commonly seen during pregnancy and in mothers who have just given birth.

What is Post Phlebitic?

What is post-thrombotic syndrome? Post-thrombotic syndrome is a condition that can happen to people who have had a deep vein thrombosis (DVT) of the leg. The condition can cause chronic pain, swelling, and other symptoms in your leg. It may develop in the weeks or months following a DVT.