Phlegmasia alba dolens

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Phlegmasia Alba Dolens (pronounced: fleg-ma-see-uh al-ba do-lens) is a rare but severe form of Deep Vein Thrombosis (DVT) that can lead to significant morbidity and mortality if not promptly recognized and treated.

Etymology

The term "Phlegmasia Alba Dolens" is derived from the Greek "phlegmasia," meaning inflammation, "alba," meaning white, and "dolens," meaning painful. This term was first used in the 18th century to describe the clinical syndrome of painful white leg that often occurs in postpartum women.

Definition

Phlegmasia Alba Dolens is characterized by a painful, pale, and cool extremity with a marked edema due to acute venous thrombosis. It is often associated with malignancy, trauma, postoperative state, or pregnancy.

Symptoms

The symptoms of Phlegmasia Alba Dolens include severe pain, swelling, and pale discoloration of the affected limb. The pain is often out of proportion to the physical findings.

Diagnosis

The diagnosis of Phlegmasia Alba Dolens is primarily clinical, but imaging studies such as Ultrasound or Computed Tomography (CT) scan can confirm the diagnosis.

Treatment

The treatment of Phlegmasia Alba Dolens involves anticoagulation, thrombolysis, and in severe cases, surgical intervention. The goal of treatment is to prevent the progression of the disease to Phlegmasia Cerulea Dolens, a more severe form of DVT that can lead to venous gangrene.

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