Phlegmasia Cerulea Dolens

Mulig underliggende sygdom og risiko for amputation

Resumé

En 71-årig sund og rask herre med flere dages anamnese med mistanke om erysipelas, fik pludselig blåmarmoreret ve. ben og ikke palpapel puls i ve. ben. Han havde tidl. haft 2x AMI, og derfor var han i magnyl behandling. På baggrund af hans symptomer vurderede man at han havde Phlegmasia Cerulea Dolens (PCD), hvilket formodentlig reddede hans ben. Casen illustrerer hvorfor PCD kan mistolkes ved første øjekast, og hvorfor det er vigtigt at kunne diagnosticere det hurtigt.  

___________________________________________________________________________________________________________________________________________

A 71 year old gentleman with no cronic illnesses, was suspected for having infektion in his leg. He suddenly got a blue leg and the pulse in a. dorsalis pedis was not possible to palpate. He have had 2 heartattacks earlier in his life and therefor he was on antithrombotic medicine. From the symptoms he was showing, they figured out fast it could be Phlegmasia Cerulea Dolens (PCD), which very well could have saved his leg from amputation. This case shows that PCD can me mistreated as another disease at first, and why its so very important to know about it and be able to give the diagnose rapidly.