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Pseudothrombophlebitis in an adolescent without rheumatic disease. A case report
J Gomez1, A Kattamis, R C Schenck
1Department of Pediatrics, University of Texas Health Science Center, San Antonio 78284-7774.
Clinical Orthopaedics and Related Research
|November 1, 1994
Summary
Pseudothrombophlebitis syndrome, causing calf pain and swelling, is rare in adolescents. This case highlights a 17-year-old without rheumatic disease presenting with these symptoms.
Area of Science:
- Medicine
- Rheumatology
- Vascular Medicine
Background:
- Pseudothrombophlebitis syndrome involves calf pain and swelling due to popliteal vessel compression by a Baker's cyst or inflammation from a ruptured cyst.
- It is infrequently reported in patients under 18, typically associated with juvenile rheumatoid arthritis.
Observation:
- A 17-year-old male presented with a week of progressive right calf pain and swelling.
- The patient had no history of rheumatic disease or other precipitating factors for deep vein thrombosis.
Findings:
- This case represents a rare instance of pseudothrombophlebitis syndrome in an adolescent without underlying rheumatic conditions.
- The presentation mimicked deep vein thrombosis but was attributed to extrinsic compression or inflammation.
Implications:
- Highlights the importance of considering pseudothrombophlebitis syndrome in adolescent calf swelling, even without typical risk factors.
- Suggests the need for thorough diagnostic evaluation to differentiate from deep vein thrombosis in young patients.
- Broadens the understanding of potential etiologies for pseudothrombophlebitis syndrome beyond juvenile rheumatoid arthritis.