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July 24, 2008  
EDUCATION CENTER: Vein Conditions
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  • Phlebitis

    Quick Reference

    Reviewed by Brian R. Robinson, MD

    Phlebitis, or inflammation of the veins, is caused by infection or injury. Two types of phlebitis can occur. The more common one is inflammation of the superficial or surface veins of the legs; the other type involves inflammation of the deep veins of the legs (the conditions may also occur in the arm). Both result in an irritated, itchy, painful and tender feeling in the vein and the tissues beneath it.

    Detailed Description

    This condition results when blood circulation in the veins slows down or in blood that clots easily. Phlebitis can also result from vein injury in those with impaired circulation. It can develop following varicose veins damage in the legs. Prolonged use of an intravenous needle, particularly during illegal drug use, can also cause vein injury.

    In addition to causing pain and discomfort in affected areas, phlebitis can also increase the chances of clot formation and result in a pulmonary embolism. Phlebitis in the deep veins can result in deep vein thrombosis (DVT).

    Risk factors for developing phlebitis include prolonged inactivity, smoking, obesity, injury to the affected extremity, pregnancy, varicose veins, and certain cancers like pancreatic cancer, breast and ovarian cancers.

    Treatment

    Phlebitis can be diagnosed during a physical examination. A Doppler device, a small hand-held instrument pressed against the skin, may be used to non-invasively determine blood flow, and an ultrasound may also be necessary to detect if phlebitis has infiltrated the deep veins, and may demonstrate DVT formation. In the case of phlebitis in the superficial veins, treatment includes anti-inflammatory drugs, increased mobility to improve blood flow, and wearing elastic compression stockings. If there is a history or risk of DVT, anticoagulants (blood thinners) may be prescribed. Also, if infection occurs, antibiotics may be used as well. Phlebitis usually responds well to therapy, though in severe cases, surgery on diseased veins may be necessary to alleviate the underlying cause of the condition.

    Last updated: 10-May-04

       
     
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