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Images in medicine
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}uth.tmc.edu

http://dx.doi.org/10.1136/postgradmedj-2016-134185

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    Introduction

    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, …

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    Footnotes

    • 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.