Phlegmasia alba dolens: Difference between revisions

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{{Infobox medical condition
| name            = Phlegmasia alba dolens
| synonyms        = Milk leg, White leg
| field          = [[Vascular medicine]]
| symptoms        = [[Swelling]], [[pain]], [[pallor]] of the affected limb
| complications  = [[Deep vein thrombosis]], [[pulmonary embolism]]
| onset          = Sudden
| duration        = Variable
| causes          = [[Venous thrombosis]]
| risks          = [[Pregnancy]], [[postpartum period]], [[cancer]], [[immobility]]
| diagnosis      = [[Clinical examination]], [[Doppler ultrasound]]
| differential    = [[Cellulitis]], [[lymphedema]], [[superficial thrombophlebitis]]
| treatment      = [[Anticoagulation therapy]], [[compression therapy]], [[elevation of the limb]]
| prognosis      = Variable, depends on severity and treatment
| frequency      = Rare
}}
'''Phlegmasia alba dolens''' (PAD) is a rare but severe form of [[deep vein thrombosis]] (DVT) which is characterized by swelling and white discoloration of the leg. It is also known as "milk leg" or "white leg". PAD is a medical emergency that requires immediate treatment.
'''Phlegmasia alba dolens''' (PAD) is a rare but severe form of [[deep vein thrombosis]] (DVT) which is characterized by swelling and white discoloration of the leg. It is also known as "milk leg" or "white leg". PAD is a medical emergency that requires immediate treatment.
== Signs and Symptoms ==
== Signs and Symptoms ==
The primary symptoms of PAD are severe pain and swelling in the leg. The affected leg may also appear pale or white, hence the name "white leg". Other symptoms may include fever, rapid heart rate, and in severe cases, shock.
The primary symptoms of PAD are severe pain and swelling in the leg. The affected leg may also appear pale or white, hence the name "white leg". Other symptoms may include fever, rapid heart rate, and in severe cases, shock.
== Causes ==
== Causes ==
PAD is caused by a large [[blood clot]] that blocks blood flow in the veins of the leg. This can occur as a result of surgery, injury, or prolonged bed rest. It can also occur in women during pregnancy or in the postpartum period.
PAD is caused by a large [[blood clot]] that blocks blood flow in the veins of the leg. This can occur as a result of surgery, injury, or prolonged bed rest. It can also occur in women during pregnancy or in the postpartum period.
== Diagnosis ==
== Diagnosis ==
Diagnosis of PAD is typically made based on the patient's symptoms and physical examination. Imaging tests such as [[ultrasound]] or [[venography]] may be used to confirm the diagnosis and locate the clot.
Diagnosis of PAD is typically made based on the patient's symptoms and physical examination. Imaging tests such as [[ultrasound]] or [[venography]] may be used to confirm the diagnosis and locate the clot.
== Treatment ==
== Treatment ==
Treatment for PAD involves removing or dissolving the blood clot. This can be done with [[anticoagulant]] medications, [[thrombolytic therapy]], or in severe cases, surgery. In addition to treating the clot, treatment may also involve managing any underlying conditions that contributed to the clot's formation.
Treatment for PAD involves removing or dissolving the blood clot. This can be done with [[anticoagulant]] medications, [[thrombolytic therapy]], or in severe cases, surgery. In addition to treating the clot, treatment may also involve managing any underlying conditions that contributed to the clot's formation.
== Prognosis ==
== Prognosis ==
With prompt treatment, the prognosis for PAD is generally good. However, if left untreated, PAD can lead to serious complications such as [[pulmonary embolism]] or [[post-thrombotic syndrome]].
With prompt treatment, the prognosis for PAD is generally good. However, if left untreated, PAD can lead to serious complications such as [[pulmonary embolism]] or [[post-thrombotic syndrome]].
== See Also ==
== See Also ==
* [[Deep vein thrombosis]]
* [[Deep vein thrombosis]]
* [[Pulmonary embolism]]
* [[Pulmonary embolism]]
* [[Post-thrombotic syndrome]]
* [[Post-thrombotic syndrome]]
== References ==
== References ==
<references />
<references />
[[Category:Vascular diseases]]
[[Category:Vascular diseases]]
[[Category:Medical emergencies]]
[[Category:Medical emergencies]]
[[Category:Thrombosis]]
[[Category:Thrombosis]]
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Latest revision as of 04:20, 4 April 2025


Phlegmasia alba dolens
Synonyms Milk leg, White leg
Pronounce N/A
Specialty N/A
Symptoms Swelling, pain, pallor of the affected limb
Complications Deep vein thrombosis, pulmonary embolism
Onset Sudden
Duration Variable
Types N/A
Causes Venous thrombosis
Risks Pregnancy, postpartum period, cancer, immobility
Diagnosis Clinical examination, Doppler ultrasound
Differential diagnosis Cellulitis, lymphedema, superficial thrombophlebitis
Prevention N/A
Treatment Anticoagulation therapy, compression therapy, elevation of the limb
Medication N/A
Prognosis Variable, depends on severity and treatment
Frequency Rare
Deaths N/A


Phlegmasia alba dolens (PAD) is a rare but severe form of deep vein thrombosis (DVT) which is characterized by swelling and white discoloration of the leg. It is also known as "milk leg" or "white leg". PAD is a medical emergency that requires immediate treatment.

Signs and Symptoms[edit]

The primary symptoms of PAD are severe pain and swelling in the leg. The affected leg may also appear pale or white, hence the name "white leg". Other symptoms may include fever, rapid heart rate, and in severe cases, shock.

Causes[edit]

PAD is caused by a large blood clot that blocks blood flow in the veins of the leg. This can occur as a result of surgery, injury, or prolonged bed rest. It can also occur in women during pregnancy or in the postpartum period.

Diagnosis[edit]

Diagnosis of PAD is typically made based on the patient's symptoms and physical examination. Imaging tests such as ultrasound or venography may be used to confirm the diagnosis and locate the clot.

Treatment[edit]

Treatment for PAD involves removing or dissolving the blood clot. This can be done with anticoagulant medications, thrombolytic therapy, or in severe cases, surgery. In addition to treating the clot, treatment may also involve managing any underlying conditions that contributed to the clot's formation.

Prognosis[edit]

With prompt treatment, the prognosis for PAD is generally good. However, if left untreated, PAD can lead to serious complications such as pulmonary embolism or post-thrombotic syndrome.

See Also[edit]

References[edit]

<references />

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