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Phlegmasia cerulea dolens
  1. Abhishek Maiti1,
  2. Avash Das2,
  3. Daniel T Smith3
  1. 1Department of Internal Medicine, The University of Texas Health Science Center, Houston, Texas, USA
  2. 2Department of Cardiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
  3. 3Department 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}

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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.

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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