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Phlegmasia cerulea dolens (PCD, painful blue leg) is a rare manifestation of deep vein thrombosis. It is a medical emergency and can rapidly lead to venous gangrene of the extremity.1 Early bedside diagnosis is crucial in order to allow time for interventions to salvage the limb.
A 58-year-old woman with metastatic breast cancer presented with acute onset of pain in her right lower leg for 1 day. The pain was constant, non-radiating, throbbing, …