Phlegmasia alba dolens
| Classification according to ICD-10 | |
|---|---|
| O87.1 | Deep vein thrombosis in the puerperium |
| I80.2 | Thrombosis, phlebitis and thrombophlebitis of other deep vessels of the lower extremities |
| ICD-10 online (WHO version 2019) | |
Phlegmasia alba dolens ( . Greek phlegmasia inflammation, fever; lat. Albus white; lat. Dolere pain), also called "milk leg" or "white leg tumor", one is thrombosis of the veins waxy usually in the pelvis and thigh with swelling, severe tenderness and Paleness of the affected limb and frequent fever.
The main cause of Phlegmasia alba dolens is a massive thrombosis of the deep veins of an extremity, which leads to an impairment of the venous return flow of blood. In contrast to phlegmasia caerulea dolens , however, the collateral veins are not or only slightly affected, so that the blood return is made more difficult, but not eliminated. The pallor is caused by a disruption of the arterial flow of blood, the cause of which has not been clarified. Effects of shock , increased vascular resistance , collapse of arterioles due to increased pressure in the tissue and vascular spasms are discussed .
As risk factors for thrombosis are cancers (of patients at 20-40%), disorders of blood coagulation , surgery or injury and inflammation in question, however, about 10% of patients with Phlegmasia have none of these factors. Phlegmasia alba dolens in particular is often associated with pregnancy (especially in the third trimester ) and the puerperium (especially with puerperal parametritis ).
For treatment and course, see: venous thrombosis
