Causes and risk factors
Phlegmasia alba dolens occur when there is complete blockage of the deep venous system in the leg due to progressive deep vein thrombosis. It is commonly seen during third trimester of pregnancy and in women who have just given birth. Other risk factors include aging, malignancy, infection.
Clinical presentation
The symptoms of phlegmasia alba dolens include edema, pain in the leg. White appearance of leg is seen. Blanching [alba], whitish ,without congestion is a clinical feature. Hence it is also called as ‘milk leg’ or white leg.
Investigations
Medical history by the patient and clinical examination by the doctor helps in diagnosis. Routine blood tests are advised. Doppler ultrasound of the blood vessels is done.
Treatment
Immobilization of the patient with leg elevation is necessary. Anticoagulants administration to prevent further clot formation is given. Antibiotics to clear any underlying infection are given. Surgery is needed if there is a severe occlusion.
Complications
Complications such as phlegmasia cerulea dolens, ischemia, gangrene may occur.
When to Contact a Doctor
One must consult a doctor if one has a history of deep vein thrombosis and develops any new symptom such as pain or swelling in the leg.
Systems involved
Cardiovascular system [circulatory system]
Organs involved
Blood vessels, leg
