Phlegmasia cerulea dolens definition of phlegmasia. There are 2 terms under the parent term phlegmasia in the icd10cm alphabetical index. Today, this disease is most commonly related to some form of underlying malignancy. Aug, 2018 phlegmasia cerulea dolens pcd is more advanced and considered a precursor of frank venous gangrene. Phlegmasia cerulea dolens medical dictionary the free dictionary. 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.
Phlegmasia alba dolens an overview sciencedirect topics. See the entry for phlegmasia in websters revised unabridged dictionary. Read more about symptoms, diagnosis, treatment, complications, causes and prognosis. Phlegmasia cerulea dolens phlebitis blue of gregoire. Phlegmasia cerulea dolens pcd is more advanced and considered a precursor of frank venous gangrene. Historically, it was commonly seen during pregnancy and in mothers who have just given birth. Phlegmasia cerulea dolens is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb. With alba you have just severe swelling of the limb without arterial compromise. 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 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. In the lower extremities, leftside involvement is three to four times more common. Diagnosis and management of phlegmasia cerulea dolens in the emergency department. It is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb.
The code is valid for the year 2020 for the submission of hipaacovered transactions. Phlegmasia cerulea dolens penn state hershey medical center. Phlegmasia definition at, a free online dictionary with pronunciation, synonyms and translation. Phlegmasia cerulea dolens with compartment syndrome nejm. Alternative names deep vein thrombosis phlegmasia cerulea dolens. Diagnosis of pulmonary embolism by multidetector ct alone or combined with venous ultrasonography of the leg. 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 describes clot formation in the venous system over a large area. Phlegmasia cerulea dolens medical definition merriam. Phlegmasia cerulea dolens definition at, a free online dictionary with pronunciation, synonyms and translation. Phlegmasia cerulea dolens of the upper extremity sciencedirect. Definition of phlegmasia alba dolens in the dictionary. Despite all of the therapeutic modalities described above, phlegmasia cerulea dolens and venous gangrene still remain lifethreatening and. It is characterized by sudden severe pain, swelling, cyanosis and edema. This occurs when the leg is swollen and white due to a clot in a deep vein that blocks blood flow. 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. 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. Phlegmasia cerulea dolens is the more severe form of the two. The imported definitions may be significantly out of date, and any more recent senses may be completely missing. Phlegmasia cerulea dolens pcd is a rare, fulminant, potentially lethal and often debilitating presentation of deep venous thrombosis dvt.
Phlegmasia cerulea dolens definition of phlegmasia cerulea. 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. An 85yearold woman with newly diagnosed metastatic nonsmall. 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. 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. Phlegmasia definition and synonyms of phlegmasia in the. Pdf trends in management of phlegmasia cerulea dolens. Sensation and motor function of the limb remained intact. Phlegmasia cerulea dolens with compartment syndrome youtube.
Between phlegmasia alba dolens and phlegmasia cerulea. Phlegmasia alba dolens definition of phlegmasia alba dolens. An 85yearold woman with newly diagnosed metastatic nonsmallcell lung cancer was admitted for pain control. Deep venous thrombosis dvt affects mainly the veins in the lower leg and the thigh. Phlegmasia alba and cerulea dolens clinical presentation.
It is the more severe form of phlegmasia alba dolens pad, and can lead to venous gangrene. Phlegmasia cerulea dolens a limb threatening problem. It was first described by hildanus in the 16 th century. Phlegmasia definition of phlegmasia by the free 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. Phlegmasia cerulea dolens blue, painful leg is an uncommon manifestation of deepvein thrombosis and results from massive thrombosis compromising venous outflow, which causes ischemia. 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. 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. Phlegmasia cerulea dolens medical definition merriamwebster.
The leg becomes more swollen and increasingly more painful. Hypercoagulability is a wellknown state that occurs. Phlegmasia stems from a greek term phlegma meaning inflammation. Between phlegmasia alba dolens and phlegmasia cerulea dolens. Only 40% of ambulatory ed patients with pe have concomitant dvt. Scvir, 1995 phlegmasia cerulea dolens pcd is a fulminant form of peripheral venous thrombosis characterized by massive edema, severe pain, and cyanosis. 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. Phlegmasia cerulea dolens definition phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis blood clots in the vein. New latin, from ancient greek phlegmasia, inflammation, from. 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 definition of phlegmasia alba. Severe sequelae threatening life and limb are rare and include phlegmasia cerulea dolens and renal vein thrombosis. Phlegmasia alba dolens medical dictionary the free dictionary.
Symptoms severe pain, rapid swelling, and bluishskin coloring affect the area below the blocked vein. Information and translations of phlegmasia alba dolens in the most comprehensive dictionary definitions resource on the web. Looking for online definition of phlegmasia alba dolens in the medical dictionary. Pad is known by the triad of edema, pain, and blanching alba without cyanosis. Phlegmasia cerulea dolens information mount sinai new york. Images in clinical medicine from the new england journal of medicine phlegmasia cerulea dolens with compartment syndrome. 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. Clinically there is sudden severe pain in a part of an extremity which quickly spreads to involve the whole limb. The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the appropriate icd codes. Jan 24, 2016 diagnosis and management of phlegmasia cerulea dolens in the emergency department. Phlegmasia alba dolens is part of a spectrum of diseases related to deep vein thrombosis. Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis blood clots in the vein. Phlegmasia cerulea dolens, or blue phlebitis, is an acute fulminating form of deep venous thrombosis first described by tremolieres and veran 1 in 1929.
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. The cause in our patient could have been the rapid reversal of anticoagulation in the setting. 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. 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. 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 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. Looking for online definition of phlegmasia cerulea dolens in the medical dictionary.
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