What causes phlegmasia alba dolens?
What causes phlegmasia alba dolens?
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.
How do you treat Phlegmasia Alba Dolens?
There are two treatment options (endovascular or surgical). In the endovascular era, catheter-directed thrombolysis is the treatment of choice to achieve venous outflow. However, surgical thrombectomy is indicated in certain cases.
What is ALBA Dolens?
Phlegmasia alba dolens (PAD) describes the patient with swollen and white leg because of early compromise of arterial flow secondary to extensive DVT. This condition is also known as “milk leg,” especially as it affects women in the third trimester of pregnancy or post partum.
What is limb threatening thrombosis?
Blood clots in the legs or lungs, also known as deep venous thrombosis and pulmonary embolus, are life or limb-threatening complications of surgical procedures. These problems, collectively known as venous thromboembolism (VTE) are feared by clinicians.
What is wrong with Captain milk legs?
milk leg, also called Iliofemoral Thrombophlebitis, or Phlegmasia Alba Dolens, inflammation of the femoral vein, the principal vein of the thigh, with formation of a clot that blocks the channel of the vein. The condition may occur shortly after childbirth, or it may result from the use of oral contraceptives.
What causes milk legs?
Can DVT cause limb ischemia?
It is a rare life-threatening complication of acute proximal DVT. It can lead to impairment of the arterial circulation, which results in tissue ischemia or limb gangrene.
Are milk legs treatable?
There is no cure; the aim of treatment is to manage the signs and slow progression of the disease.
What are the signs and symptoms of Phlegmasia alba dolens?
Symptoms occur 3-4 times more often in the left leg compared to the right leg, whereas upper extremity involvement is uncommon (<5%). 2 Duration of symptoms can be gradual or sudden. Phlegmasia alba dolens presents as a triad of edema, pain, and white blanching skin without cyanosis.
What is phlegmasia cerulea dolens ( literally purple swelling)?
The entire leg becomes both edematous and mottled or cyanotic. This stage is called phlegmasia cerulea dolens (literally, painful purple swelling). When venous outflow is seriously impeded, arterial inflow may be reduced secondarily by as much as 30%.
What is the triad of edema with blanching (Alba) without cyanosis?
PAD is known by the triad of edema, pain, and blanching (alba) without cyanosis. The onset of symptoms may be gradual or fulminant. PAD precedes PCD in 50-60% of cases.
