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Venous blood clot
Venous blood clot


Phlegmasia cerulea dolens

Definition:

Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis (blood clots in the vein), usually in the upper leg.



Causes:

Phlegmasia alba dolens



Symptoms:

Pain, swelling , and bluish-skin coloring affect the area below the blocked vein.



Exams and Tests:

For information on diagnosis, see: Deep venous thrombosis



Treatment:

For information on treatment, see: Deep venous thrombosis



Possible Complications:

Continued clotting can lead to increased swelling. The swelling can interfere with blood flow. This complication is called phlegmasia alba dolens. It causes the skin to turn white. Phlegmasia alba dolens may lead to tissue death (gangrene) and the need for amputation.



When to Contact a Medical Professional:

See immediate medical help if an arm or leg is severely swollen, blue, or painful.



References:

Ginsberg J. Peripheral venous disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 81.




Review Date: 2/24/2014
Reviewed By: Todd Gersten, MD, Hematology/Oncology, Florida Cancer Specialists & Research Institute, Wellington, FL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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