Thrombophlebitis

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It is the inflammation of the venous system, which can degenerate into deep vein thrombosis and/or pulmonary thromboembolism.

It is caused by diseases (cancer, congenital cardiopathies, nephrotic syndrome), trauma or intravenous catheters.

In many cases, it is not associated to symptoms. When it does manifest as deep vein thrombosis that goes along with swelling, reddening and pain in the extremity. If it starts as a pulmonary thromboembolism, it may develop into respiratory failure, collapse of blood circulation and even death.

Diagnosis is reached through clinical questioning, physical exploration and a Doppler colour ultrasound. Other complementary tests less common are: phlebography, CT-scan or MRI.

The treatment must be personalised, being anticoagulants the elective treatment.

Bibliographic references
  1. Kenet G, Nowak-Gôttl U. Venous thromboembolism in neonates and children . Best Practice&R esearch Clinical Haematology2012; 25: 333-344.
  2. Chan AK, deVeber G, Monagle P, Brooker LA, Massicotte PM.Venous thrombosis in children. J Thromb Haemost. 2003;1(7):1443-1455
  3. Setty BA, O’Brien SH, Kerlin BA. Pediatric venous thromboembolism in the United States: A tertiary care complication of chronic diseases. Pediatr Blood Cancer. 2012;59(2):258-264.
  4. Andrew M, David M, Adams M et al. Venous thromboembolic complications (VTE) in children: first analyses of the CanadianRegistry of VTE. Blood.1994;83(5):1251-1257.
  5. Van Ommen CH, Heijboer H, Buller HR, Hirasing RA,Heijmans HS, Peters M. Venous thromboembolism in childhood:a prospective two-year registry in The Netherlands. J Pediatr. 2001;139(5):676-681.
  6. Wright JM, Watts RG. Venous thromboembolism in pediatric patients: epidemiologic data from a pediatric tertiary care center in Alabama. J Pediatr Hematol Oncol. 2011;33(4):261-264.
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Symptoms

    Swollen vein is hard


    Pain when pressing the varicose vein


    Leg is swollen due to a varicose vein


    History of dilated veins in the legs - varicose veins


    Swollen leg

Symptoms to watch out for

Pain in the chest
A feeling of shortness of breath
Cough alongside blood or pus

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Use silicone bands or compression tights.
Keep the limb raised
Apply warm compresses 3 to 4 times a day for 10 to 15 minutes.
Check with your general practitioner about the prescription for anticoagulants.