What does Phlegmasia mean?
Background. Phlegmasia stems from a Greek term (phlegma) meaning inflammation. It has been used in the medical literature in reference to extreme cases of lower-extremity deep venous thrombosis (DVT) that cause critical limb ischemia and possible limb loss.
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 causes phlegmasia cerulea dolens?
Phlegmasia cerulea dolens is a rare syndrome caused by diffuse venous thrombosis that is characterized by sudden pain, swelling, purple ecchymosis, and arterial ischemia with loss of distal pulses.
What causes Phlegmasia Alba Dolens?
Phlegmasia alba dolens (PAD) and phlegmasia cerulea dolens (PCD) are uncommon conditions that result from acute, massive venous thromboembolism. These conditions are associated with deep vein thrombosis of the lower extremity and have high associated morbidity and mortality.
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 human milk leg?
milk leg, also called Iliofemoral Thrombophlebitis, or Phlegmasia Alba Dolens, inflammation of the femoral vein, the principal vein of the thigh, with formation of a clot that blocks the channel of the vein. The condition may occur shortly after childbirth, or it may result from the use of oral contraceptives.
How do you treat Phlegmasia Alba Dolens?
Can a DVT cause ischemia?
Acute limb ischemia is typically caused by a sudden blockage of arterial blood flow, but in rare cases can be caused by deep venous thrombosis (DVT). Acute limb ischemia caused by DVT is a rare and potentially fatal complication that can result in arterial circulation impairment, tissue ischemia, or limb gangrene.
What is venous gangrene?
Venous gangrene (VG) is defined as a clinical triad of skin necrosis and discolouration, documented evidence of venous thromboembolism (VTE) and presence of palpable or doppler- identifiable arterial pulsation. Venous gangrene is rare condition which is associated with poor prognosis in cancer patients.
What causes white leg?
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.