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thrombophlebitis

 
Medical Encyclopedia: Thrombophlebitis

Definition

Thrombophlebitis is the inflammation of a vein with blood clot formation inside the vein at the site of inflammation. Thrombophlebitis is also known as phlebitis, phlebothrombosis, and venous thrombosis.

Description

There are two parts to thrombophlebitis, inflammation of a vein and blood clot formation. If the inflammation component is minor, the disease is usually called venous or phlebothrombosis. Thrombophlebitis can occur in both deep veins and superficial veins, but most often occurs in the superficial veins of the extremities (legs and arms). Most cases occur in the legs. When thrombophlebitis occurs in a superficial vein, one that is near the surface of the skin and is visible to the eye, the disease is called superficial thrombophlebitis. Any form of injury to a blood vessel can result in thrombophlebitis. In the case of superficial thrombophlebitis, the blood clot usually attaches firmly to the wall of the affected blood vein. Since superficial blood veins do not have muscles that massage the veins, blood clots in superficial veins tend to remain where they form and seldom break loose. When thrombophlebitis occurs in a deep vein, a vein that runs deep within muscle tissue, it is called deep venous thrombosis. Deep venous thrombosis presents the threat of producing blood clots that will break loose to form emboli. These can lodge in other tissues where they can block the blood supply, typically in the lungs. This results in tissue damage and can sometimes be serious or fatal; for example, pulmonary embolism.

— John T. Lohr, PhD



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Dictionary: throm·bo·phle·bi·tis   (thrŏm'bō-flĭ-bī'tĭs) pronunciation
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n.
Inflammation of a vein caused by or associated with the formation of a blood clot.


Dental Dictionary: thrombophlebitis
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(throm′bōfləbī′tis)
n

An inflammation of the vein in which the vein becomes closed or occluded resulting from the development of a clot or thrombus.

Veterinary Dictionary: thrombophlebitis
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Inflammation of a vein associated with thrombus formation. See also thrombosis.

Wikipedia: Thrombophlebitis
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Thrombophlebitis
Classification and external resources
ICD-10 I80., I82.1
ICD-9 451
MedlinePlus 001108
MeSH D013924

Thrombophlebitis is phlebitis (vein inflammation) related to a thrombus.[1] When it occurs repeatedly in different locations, it is known as "Thrombophlebitis migrans" or "migrating thrombophlebitis".

Contents

Causes, incidence, and risk factors

Thrombophlebitis (another medical term is "White Leg") is related to a thrombus in the vein. Risk factors include prolonged sitting and disorders related to blood clotting. Specific disorders associated with thrombophlebitis include superficial thrombophlebitis (affects veins near the skin surface) and deep venous thrombosis (affects deeper, larger veins). Thrombophlebitis migrans can be a non-metastatic manifestation of pancreatic carcinoma (Trousseau sign of malignancy).

Symptoms

The following symptoms are often (but not always) associated with thrombophlebitis:

  • pain in the part of the body affected
  • skin redness or inflammation (not always present)
  • swelling (edema) of the extremities (ankle and foot)

Signs and tests

The health care provider makes the diagnosis primarily based on the appearance of the affected area. Frequent checks of the pulse, blood pressure, temperature, skin condition, and circulation may be required.

If the cause is not readily identifiable, tests may be performed to determine the cause, including the following:

Treatment

For more specific recommendations, see the particular condition. In general, treatment may include the following:

The patient may be advised to do the following:

  • Elevate the affected area to reduce swelling.
  • Keep pressure off of the area to reduce pain and decrease the risk of further damage.
  • Apply moist heat to reduce inflammation and pain.
  • Surgical removal, stripping, or bypass of the vein is rarely needed but may be recommended in some situations.

Prognosis

Thrombophlebitis and other forms of phlebitis usually respond to prompt medical treatment.

Complications

Complications are rare, but when they occur they can be serious. The most serious complication occurs when the blood clot dislodges, traveling through the heart and occluding the dense capillary network of the lungs; this is a pulmonary embolism and is extremely life threatening.

Prevention

Routine changing of intravenous (IV) lines helps to prevent phlebitis related to IV lines. See the specific disorders associated with thrombophlebitis for other preventive measures.

References

Source

  • Thrombophlebitis. MedlinePlus Medical Encyclopedia. Public domain text. Update Date: 4/19/2004. Updated by: Brian F. Burke M.D., Department of Internal Medicine, Munson Medical Center, Traverse City, MI. Review provided by VeriMed Healthcare Network.

 
 

 

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Medical Encyclopedia. © 2006 through a partnership of Answers Corporation. All rights reserved.  Read more
Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2009. Published by Houghton Mifflin Company. All rights reserved.  Read more
Dental Dictionary. Mosby's Dental Dictionary. Copyright © 2004 by Elsevier, Inc. All rights reserved.  Read more
Veterinary Dictionary. Saunders Comprehensive Veterinary Dictionary 3rd Edition. Copyright © 2007 by D.C. Blood, V.P. Studdert and C.C. Gay, Elsevier. All rights reserved.  Read more
Wikipedia. This article is licensed under the Creative Commons Attribution/Share-Alike License. It uses material from the Wikipedia article "Thrombophlebitis" Read more