Phlebitis

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Phlebitis
Classification and external resources
60px
The popliteal vein.
ICD-10 I80.
ICD-9 451
DiseasesDB 13043
eMedicine emerg/581 emerg/582 med/3201
MeSH D010689

Phlebitis is an inflammation of a vein, usually in the legs.

When phlebitis is associated with the formation of blood clots (thrombosis), usually in the deep veins of the legs, the condition is called thrombophlebitis. These clots can travel to the lungs, causing pulmonary embolisms that can be fatal.

Etiology

Vasculitis:

  • Bacterial: Pathogenic organisms can gain access and stimulate inflammation.
  • Chemical: caused by irritating or vesicant solutions.
  • Mechanical: physical trauma from the skin puncture and movement of the cannula into the vein during insertion; any subsequent manipulation and movement of the cannula; clotting; or excessively large cannula.
  • Medications including Celebrex, Olanzepine, antidepressants, and others.
  • Genetic as it is known to run in families.
  • Alcohol abuse

Signs and symptoms

  • Redness (erythema) and warmth with a temperature elevation of a degree or more above the baseline
  • Pain or burning along the length of the vein
  • Swelling (edema)
  • Vein being hard, and cord-like
  • If occurring due to an intravenous infusion line, then slowed infusion rate

Massage

  • This condition is considered a contraindication, therefore no massage should be conducted as the nature of massage manipulations risks breaking loose a clot which could then travel to the lungs (pulmonary embolism) or the heart.

Notable cases

  • Former United States President Richard Nixon and former Vice President Dan Quayle suffered from phlebitis.
  • Truman Capote, famed author of In Cold Blood and many other works, suffered from phlebitis. Pablo Neruda, the famous poet, also suffered from it.
  • During the shooting of Sense and Sensibility (1995), actress Kate Winslet, who played the role of Marianne Dashwood, suffered from phlebitis.
  • Mario Lanza suffered from phlebitis, and his cause of death in 1959 was from a blood clot going from his leg to his lungs.
  • Oswald Mosley, British Fascist, suffering from phlebitis, was released from internment on 23 November 1943.
  • Orson Welles also suffered from chronic phlebitis and it may have contributed to his death in 1985, as it is listed on his death certificate.[1]
  • Jerry Seinfeld's father, in the show, has phlebitis

See also

Notes

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References

Intravenous Infusion Therapy for Nurses (Second Edition) by Dianne L. Josephson (ISBN 1-4018-0935-9)

External links

ca:Flebitis

de:Phlebitis es:Flebitis fr:Maladie thrombo-embolique io:Flebito it:Flebite he:פלביטיס nl:Flebitis

pt:Flebite
  1. http://www.findadeath.com/Deceased/w/orson/dc.jpg