What history findings suggest superficial thrombophlebitis?

Updated: Apr 17, 2019
  • Author: Khanjan H Nagarsheth, MD, MBA; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Patients with superficial thrombophlebitis often give a history of a gradual onset of localized tenderness, followed by the appearance of an area of erythema along the path of a superficial vein. Patients may also have a history of the following:

  • Local trauma
  • Similar prior episodes
  • Varicose veins
  • Prolonged travel
  • Hormone use
  • Tobacco use
  • Family history of blood coagulopathies
  • Enforced stasis

Although patients should be asked about these risk factors for hypercoagulability, the absence of identifiable risk factors has no prognostic value.


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