What is phlegmasia cerulea dolens (PCD)?

Updated: Jul 27, 2020
  • Author: Cassius Iyad Ochoa Chaar, MD, MS, FACS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Phlegmasia cerulea dolens (PCD) is more advanced and considered a precursor of frank venous gangrene. [1] It is characterized by severe swelling and cyanosis and blue discoloration of the extremity. It was first described by Hildanus in the 16th century. [2] Later, the term PCD was first used by Gregoire in 1938. [3] Its rarity notwithstanding, phlegmasia is a life-threatening condition. It is crucial for nonvascular specialists to be able to recognize this condition promptly and accurately; treatment is time-sensitive.

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