Article Text

Download PDFPDF
Phlegmasia cerulea dolens
  1. Abhishek Maiti1,
  2. Avash Das2,
  3. Daniel T Smith3
  1. 1 Department of Internal Medicine, The University of Texas Health Science Center, Houston, Texas, USA
  2. 2 Department of Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
  3. 3 Department of Infectious Diseases, The University of Texas Health Science Center at Houston, Texas, USA
  1. Correspondence to Dr Abhishek Maiti, 2950 Old Spanish Trail, Apt 379, Houston, TX 77054, USA; abhishek.maiti{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


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.

Case report

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, …

View Full Text


  • Contributors AM provided care for the patient. All authors wrote the report.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.