Sligtly Enlarged Bluegreen Vein Below Skin on Arm

Superficial thrombophlebitis

Thrombophlebitis - superficial

Thrombophlebitis is a bloated or inflamed vein due to a claret jell. Superficial refers to veins just below the peel's surface.

Superficial thrombophlebitis is an inflammation of a vein only below the surface of the skin, which results from a blood clot. This condition may occur afterward recently using an IV line, or after trauma to the vein. Some symptoms can include hurting and tenderness along the vein and hardening and feeling cord-like. Superficial thrombophlebitis is usually a benign and brusk-term condition. Symptoms generally subside in 1 to 2 weeks, but hardness of the vein may remain for much longer.

Shown here is erythema following the vascular pattern on a lower extremity. The superficial veins have get inflamed and dilated, causing the discoloration.

Causes

This condition may occur subsequently injury to the vein. It may as well occur after having medicines given into your veins. If you have a loftier risk for blood clots, y'all may develop them for no credible reason.

Risks for thrombophlebitis include:

• Cancer or liver disease
• Deep vein thrombosis
• Disorders that involve increased blood clotting (may be inherited)
• Infection
• Pregnancy
• Sitting or staying even so for a prolonged menstruum
• Use of birth control pills
• Swollen, twisted, and enlarged veins (varicose veins)

Symptoms

Symptoms may include any of the post-obit:

• Peel redness, inflammation, tenderness, or hurting forth a vein only below the peel
• Warmth of the area
• Limb hurting
• Hardening of the vein

Exams and Tests

Your health care provider volition diagnose this status based mainly on the advent of the affected area. Frequent checks of the pulse, claret pressure, temperature, pare condition, and blood flow may be needed.

Ultrasound of the claret vessels helps confirm the condition.

If there are signs of an infection, skin or blood cultures may be washed.

Treatment

To reduce discomfort and swelling, your provider may recommend that you:

• Wearable support stockings, if your leg is affected.
• Keep the affected leg or arm raised higher up heart level.
• Utilise a warm compress to the area.

If y'all have a catheter or IV line, it will likely be removed if it is the cause of the thrombophlebitis.

Medicines called NSAIDs, such equally ibuprofen, may be prescribed to reduce pain and swelling.

If clots in the deeper veins are also present, your provider may prescribe medicines to thin your claret. These medicines are called anticoagulants. Antibiotics are prescribed if you have an infection.

Surgical removal (phlebectomy), stripping, or sclerotherapy of the affected vein may be needed. These care for large varicose veins or to prevent thrombophlebitis in loftier-gamble people.

Outlook (Prognosis)

This is ofttimes a short-term status that does non crusade complications. Symptoms often become away in ane to 2 weeks. Hardness of the vein may remain for much longer.

Possible Complications

Complications are rare. Possible bug may include the post-obit:

• Infections (cellulitis)
• Deep vein thrombosis

When to Contact a Medical Professional

Call for an appointment with your provider if you develop symptoms of this status.

Also telephone call if yous already have the condition and your symptoms worsen or practice not become better with treatment.

Prevention

In the hospital, swollen or inflamed veins tin can be prevented by:

• The nurse regularly changing the location of your Four line and removing it if swelling, redness, or hurting develop
• Walking and staying active equally soon as possible after surgery or during a long-term disease

When possible, avoid keeping your legs and arms still for long periods. Move your legs oftentimes or take a stroll during long airplane trips or car trips. Try to avoid sitting or lying down for long periods without getting upward and moving almost.

References

Cardella JA, Amankwah KS. Venous thromboembolism: prevention, diagnosis, and treatment. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:1072-1082.

Wasan S. Superficial thrombophlebitis and its direction. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 150.

Version Info

Last reviewed on: 6/16/2020

Reviewed by: Deepak Sudheendra, Doctor, RPVI, FSIR, Director of DVT & Circuitous Venous Disease Program, Assistant Professor of Interventional Radiology & Surgery at the University of Pennsylvania Perelman School of Medicine, with an expertise in Vascular Interventional Radiology & Surgical Disquisitional Care, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed past David Zieve, MD, MHA, Medical Managing director, Brenda Conaway, Editorial Manager, and the A.D.A.M. Editorial team.

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Source: https://www.mountsinai.org/health-library/diseases-conditions/superficial-thrombophlebitis

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