Wednesday, October 31, 2012

Thrombophlebitis migrans

Migrans thrombophlebitis (phlebitis saltans) is a rare form of recurrent superficial thrombophlebitis, which can affect large and small veins throughout the body, and is often associated with other diseases.


The cause of
It is believed that this is allergy - hiperergijskoj vascular response to a variety of factors, eg. to local bacterial infection, tumor antigens, and the like. The disease is quite common in patients with cancer of the pancreas, lung and prostate cancer, leukemia, gout, lymphoma and trombangitis obliterans - a.

The clinical picture
Parts are usually thrombosed superficial veins in the legs, abdominal wall, thighs and arms, mostly in younger and middle godnina. Thrombosed veins and inflammatory part of the indurisan (hardened), and as a hardening and palpated as a pen or a rope, which is painful, and the skin over the vein edematous (swollen) and erythematous (red). With disease relapse and involvement of one hour, then the other veins, can last for months or years. The veins of the internal organs (spleen, mesentery) may also be affected, but it does not occur embolism.

Diagnosis
It is based on history, clinical, dermatological examination.

Treatment
Treatment is carried out Tylenol, the eventual systemic corticosteroids. Locally applied heparin and heparinoidni preparations. It is necessary to treat the local infection with antibiotics and stop smoking.

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