| • | aka Superficial Vein Thrombosis |
| • | = thrombosis of greater or lesser saphenous veins and their tributaries |
etiology:
| • | most frequently a complication of varicose veins |
| • | however, the disease may develop as a result of either a primary or secondary hypercoagulable state |
| • | sometimes associated with IV catheters or infusions |
| • | may develop in association with a DVT |
| • | does not result in PE or chronic venous insufficiency |
Clinically:
| • | reddened, warm, tender cord extending along a superficial vein |
| • | treatment = supportive: warm compresses, leg elevation, NSAIDS for pain |
| • | lymphangitis: red streaking up the limb, and tender lymph nodes proximally |
| • | cellulitis: more diffuse involvement |
histology: inflammatory infiltrate seen throughout the vessel wall, and the vessel lumen is generally occluded
migratory Svt:
| • | often a marker for a carcinoma (esp. gastric) |
| • | Trousseau’s syndrome: when the hypercoagulable state is secondary to an underlying malignancy |
| • | Trousseau’s sign (may precede symptoms in pancreatic CA) |
| • | also may occur in patients with vasculitides (e.g. thromboangiitis obliterans) |
Mondors disease:
| • | thrombophlebitis of the anterior chest wall; presenting as a tender or non-tender cord |
| • | usually benign (but sometimes associated with breast CA) |
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