Phlegmasia definition at, a free online dictionary with pronunciation, synonyms and translation. Looking for online definition of phlegmasia cerulea dolens in the medical dictionary. Neuter thrombosis of the veins of a limb, with sudden severe pain with swelling, cyanosis, and edema of the part, followed by circulatory collapse and shock. Between phlegmasia alba dolens and phlegmasia cerulea dolens.
Phlegmasia cerulea dolens definition at, a free online dictionary with pronunciation, synonyms and translation. Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis blood clots in the vein. These two entities occur following iliofemoral venous thrombosis, 75% of which occur on the left side presumably because of compression of the left common iliac vein by the overlying right common iliac artery maythurner. Phlegmasia alba dolens an overview sciencedirect topics. See the entry for phlegmasia in websters revised unabridged dictionary. There are 2 terms under the parent term phlegmasia in the icd10cm alphabetical index. Phlegmasia cerulea dolens is the more severe form of the two.
An 85yearold woman with newly diagnosed metastatic nonsmallcell lung cancer was admitted for pain control. Phlegmasia alba dolens, which translates to painful white inflammation, occurs when venous thrombosis progresses to a massive occlusion of the major deep venous system of the leg, but without ischemia as collateral veins are still patent. Definition of phlegmasia alba dolens in the dictionary. The code is valid for the year 2020 for the submission of hipaacovered transactions. Aug, 2018 phlegmasia cerulea dolens pcd is more advanced and considered a precursor of frank venous gangrene. Phlegmasia cerulea dolens penn state hershey medical center. Phlegmasia cerulea dolens is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb. Phlegmasia cerulea dolens phlebitis blue of gregoire. Part or all of this entry has been imported from the 19 edition of websters dictionary, which is now free of and hence in the public domain. Phlegmasia alba dolens is usually seen in the lower extremities, especially in the left leg and consists of edema, pain and white color of the skin caused by venous stasis, as a consequence of femoral vein thrombosis, thus the term alba, because cyanosis has not occurred yet, as phlegmasia alba precedes phlegmasia cerulea and arterial compromise is not as severe. Phlegmasia cerulea dolens definition phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis blood clots in the vein. Phlegmasia stems from a greek term phlegma meaning inflammation. Phlegmasia cerulea dolens medical definition merriamwebster. Phlegmasia cerulea dolens pcd is a rare, fulminant, potentially lethal and often debilitating presentation of deep venous thrombosis dvt.
Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Phlegmasia meaning of phlegmasia in the english dictionary with examples of use. Phlegmasia cerulea dolens medical dictionary the free dictionary. Sensation and motor function of the limb remained intact. Phlegmasia cerulea dolens medical definition merriam. The cause in our patient could have been the rapid reversal of anticoagulation in the setting. In cases of pregnancy, it is most often seen during the third trimester, resulting from a compression of the left common iliac vein against the pelvic rim by the enlarged uterus. Phlegmasia cerulea dolens with compartment syndrome nejm. Phlegmasia alba dolens also colloquially known as milk leg or white leg is part of a spectrum of diseases related to deep vein thrombosis. Phlegmasia alba dolens is distinguished, clinically, from phlegmasia cerulea dolens in that there is no ischemia. Phlegmasia cerulea dolens pcd is a severe presentation of massive dvt, and it is often associated with extremity catheterdirected thrombolytic therapy in deep venous thrombosis of the lower extremity. Phlegmasia cerulea dolens phlegmasia erulea dolens pd erulea means lue referred to as painful lue leg rare condition that occurs in definitions resource on the web. Jan 24, 2016 diagnosis and management of phlegmasia cerulea dolens in the emergency department. Phlegmasia cerulea dolens with compartment syndrome youtube.
Today, this disease is most commonly related to some form of underlying malignancy. It has been used in the medical literature in reference to extreme cases. Phlegmasia cerulea dolens pcd is more advanced and considered a precursor of frank venous gangrene. Phlegmasia cerulea dolens definition of phlegmasia. Phlegmasia alba dolens definition of phlegmasia alba dolens. Images in clinical medicine from the new england journal of medicine phlegmasia cerulea dolens with compartment syndrome. It is characterized by sudden severe pain, swelling, cyanosis and edema. Phlegmasia cerulea dolens of the upper extremity sciencedirect. Phlegmasia alba dolens is part of a spectrum of diseases related to deep vein thrombosis. At this stage it is called phlegmasia cerulea dolens. Patients usually present with edema, pain, blanching and it may progress to gangrene and systemic shock in severe cases. Historically, it was commonly seen during pregnancy and in mothers who have just given birth. New latin, from ancient greek phlegmasia, inflammation, from.
An 85yearold woman with newly diagnosed metastatic nonsmall. May 25, 2014 phlegmasia cerulea dolens from latin for inflamed, blue, and painful was the clinical impression and confirmed with doppler ultrasound, which demonstrated an occlusive thrombus in the left femoral vein. Aug, 2018 phlegmasia alba dolens pad and phlegmasia cerulea dolens pcd predominantly affect the lower extremities, with fewer than 5% of cases believed to involve the upper extremities. Pad is known by the triad of edema, pain, and blanching alba without cyanosis. Information and translations of phlegmasia alba dolens in the most comprehensive dictionary definitions resource on the web. Phlegmasia cerulea dolens phlegmasia erulea dolens pd erulea means lue referred to as painful lue leg rare condition that occurs in phlegmasia cerulea dolens uncountable an uncommon severe form of deep vein thrombosis resulting from extensive thrombotic occlusion blockage by a blood clot of the major and collateral veins of an extremity. Pronunciation of phlegmasia cerulea dolens with 1 audio pronunciation, 1 meaning, 2 translations and more for phlegmasia cerulea dolens. Phlegmasia alba dolens pad and phlegmasia cerulea dolens pcd predominantly affect the lower extremities, with fewer than 5% of cases believed to involve the upper extremities. Phlegmasia cerulea dolens from latin for inflamed, blue, and painful was the clinical impression and confirmed with doppler ultrasound, which demonstrated an occlusive thrombus in the left femoral vein. It is the more severe form of phlegmasia alba dolens pad, and can lead to venous gangrene. It is the consequence of complete obstruction of the venous drainage of a limb and may result in shock, distal gangrene 50%, pulmonary embolus, amputation. Diagnosis of pulmonary embolism by multidetector ct alone or combined with venous ultrasonography of the leg.
It was first described by hildanus in the 16 th century. Severe sequelae threatening life and limb are rare and include phlegmasia cerulea dolens and renal vein thrombosis. Phlegmasia alba and cerulea dolens clinical presentation. Phlegmasia alba dolens medical dictionary the free dictionary. It is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb. Scvir, 1995 phlegmasia cerulea dolens pcd is a fulminant form of peripheral venous thrombosis characterized by massive edema, severe pain, and cyanosis. The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the appropriate icd codes. The imported definitions may be significantly out of date, and any more recent senses may be completely missing. Pcd is the term used to describe lowerextremity dvt that causes limb ischemia, and is characterized by severe swelling and blue discoloration of the extremity. Clinically there is sudden severe pain in a part of an extremity which quickly spreads to involve the whole limb. Phlegmasia cerulean dolens is a severe form of deep venous thrombosis characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated. Phlegmasia definition and synonyms of phlegmasia in the. Phlegmasia alba and cerulea dolens are rare diseases along a spectrum of deep venous thromboses.
Looking for online definition of phlegmasia alba dolens in the medical dictionary. In cases of pregnancy, it is most often seen during the third trimester, resulting from a compression of the left common iliac vein against the pelvic. Only 40% of ambulatory ed patients with pe have concomitant dvt. This occurs when the leg is swollen and white due to a clot in a deep vein that blocks blood flow. Phlegmasia cerulea dolens a limb threatening problem. Deep venous thrombosis dvt affects mainly the veins in the lower leg and the thigh. Phlegmasia cerulea dolens is preceded by a condition called phlegmasia alba dolens. With alba you have just severe swelling of the limb without arterial compromise. Phlegmasia alba dolens definition of phlegmasia alba. Between phlegmasia alba dolens and phlegmasia cerulea. Phlegmasia cerulea dolens describes clot formation in the venous system over a large area. Despite all of the therapeutic modalities described above, phlegmasia cerulea dolens and venous gangrene still remain lifethreatening and. Diagnosis and management of phlegmasia cerulea dolens in the emergency department.
Alternative names deep vein thrombosis phlegmasia cerulea dolens. Phlegmasia cerulea dolens pcd is a 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. Phlegmasia cerulea dolens information mount sinai new york. In the lower extremities, leftside involvement is three to four times more common. Phlegmasia cerulea dolens blue, painful leg is an uncommon manifestation of deepvein thrombosis and results from massive thrombosis compromising venous outflow, which causes ischemia. Hypercoagulability is a wellknown state that occurs. Pdf trends in management of phlegmasia cerulea dolens. Phlegmasia definition of phlegmasia by the free dictionary. Symptoms severe pain, rapid swelling, and bluishskin coloring affect the area below the blocked vein. Phlegmasia cerulea dolens definition of phlegmasia cerulea.
These two entities occur following iliofemoral venous thrombosis, 75% of which occur on the left side presumably because of compression of the left common iliac vein by the overlying right common iliac artery maythurner syndrome. Shackford md, facs, in abernathys surgical secrets seventh edition, 2018. These two entities occur following iliofemoral venous thrombosis, 75% of which occur on the left side presumably because of compression of the left common iliac vein by the overlying right. Phlegmasia cerulea dolens, or blue phlebitis, is an acute fulminating form of deep venous thrombosis first described by tremolieres and veran 1 in 1929. Pronunciation of phlegmasia cerulea dolens with 1 audio pronunciation, 1 meaning, 2 translations and. Phlegmasia cerulea dolens is a rare but severe form of deep venous thrombosis which results from extensive thrombotic occlusion of the major extremity veins and their collaterals pathogenesis. The leg becomes more swollen and increasingly more painful.