Contents

SynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyDrug Reaction DataReferences

View all Images (15)

Superficial thrombophlebitis
See also in: Cellulitis DDx
Other Resources UpToDate PubMed

Superficial thrombophlebitis

See also in: Cellulitis DDx
Contributors: Tara Mahar MD, Art Papier MD
Other Resources UpToDate PubMed

Synopsis

Superficial thrombophlebitis refers to inflammation (phlebitis) and thrombosis in subcutaneous veins. It is most commonly caused by intravenous cannulation of veins but may also be due to hypercoagulable states, stasis within varices, visceral cancer, and infection (usually due to Staphylococcus aureus, then termed septic thrombophlebitis). Ten to twenty percent of cases are associated with occult deep venous thrombosis (DVT). Superficial thrombophlebitis presents as erythema and induration of a superficial vein. There may be a low-grade fever. Complications include extension to the deep venous system and sepsis or endocarditis in cases of septic thrombophlebitis.

Trousseau syndrome is recurrent migratory thrombophlebitis associated with visceral cancer (usually pancreatic).

Superficial thrombophlebitis can often be distinguished from cellulitis on the basis of history (recent intravenous catheter site) and physical exam (palpable induration or cord in the area of a vein).

Superficial thrombophlebitis on the chest with enlarged veins is sometimes called Mondor disease.

Codes

ICD10CM:
I80.9 – Phlebitis and thrombophlebitis of unspecified site

SNOMEDCT:
2477008 – Superficial thrombophlebitis

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

To perform a comparison, select diagnoses from the classic differential

Subscription Required

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

Drug Reaction Data

Subscription Required

References

Subscription Required

Last Updated:08/21/2017
Copyright © 2024 VisualDx®. All rights reserved.
Superficial thrombophlebitis
See also in: Cellulitis DDx
A medical illustration showing key findings of Superficial thrombophlebitis : Fever, Antecubital fossa, Arm, Asymmetric trunk or extremity distribution, Erythema, Leg, Lower extremity edema, Unilateral distribution, Upper extremity edema, Painful skin lesion, Intravenous catheter site
Clinical image of Superficial thrombophlebitis - imageId=2974016. Click to open in gallery.  caption: 'Linear erythematous patches on the leg.'
Linear erythematous patches on the leg.
Copyright © 2024 VisualDx®. All rights reserved.