Image of the Week: Phlegmasia cerulea dolens
This patient, aged more than 90 years, with a history of atrial fibrillation presented with atypical measles syndrome and sudden changes to both feet, which are cold to touch, with no pulses palpable or by Doppler and blisters that are getting larger and occasionally leak blood-tinged serous fluid. The patient reports excruciating pain in both legs.
This patient was diagnosed with phlegmasia cerulea dolens (PCD), a condition caused by acute massive venous thrombosis. PCD can be treated with thrombolysis, thrombectomy, or amputation. This patient’s age and medical history indicate a significant risk for treatment, and she was placed on comfort measures.
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