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The information contained on this page is provided as general health information and is not intended to substitute as medical advice and direction from your physician or health care provider. Please direct any questions related to your health care provider. In an emergency, call 9-1-1 or go to the nearest emergency center.


Phlegmasia cerulea dolens

Definition

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

Alternative Names

Deep vein thrombosis - Phlegmasia cerulea dolens; DVT - Phlegmasia cerulea dolens; Phlegmasia alba dolens

Causes

Phlegmasia cerulea dolens is preceded by a condition called phlegmasia alba dolens. This occurs when the leg is swollen and white due to a clot in a deep vein that blocks blood flow.

Symptoms

Severe pain, rapid swelling, and bluish-skin coloring affect the area below the blocked vein.

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

Seek medical help right away if an arm or leg is severely swollen, blue, or painful.

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Venous blood clot

References

Kline JA. Pulmonary embolism and deep vein thrombosis. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 78.

Wakefield TW. Venous thrombosis. In: Kellerman RD, Bope ET, eds. Conn's Current Therapy 2018. Philadelphia, PA: Elsevier; 2018:153-157.