Shadid Nadia, Frank Jorge, Sommer Anja
Department of Dermatology, University Medical Center Maastricht, The Netherlands.
Int J Dermatol. 2008 Nov;47 Suppl 1:29-31. doi: 10.1111/j.1365-4632.2008.03955.x.
Four days after foamsclerotherapy of an incompetent great saphenous vein of the left lower leg a 49-year-old woman developed a superficial thrombophlebitis of the venous dorsal arch. In the course of follow-up repeated color duplex sonography initially did not show involvement of the deep venous system and, hence, she was treated with non-steroidal anti-inflammatory drugs and compression hosiery. However, six weeks after foam treatment we diagnosed a deep venous thrombosis (DVT) of the popliteal vein and started an oral anticoagulant therapy. Although rarely observed, DVT is among the most serious complications of foamsclerotherapy Therefore, we suggest that the occurrence of a superficial thrombophlebitis that is not located in close vicinity of the vein treated should be an indication for regular follow-up examinations to prevent missing the occurrence of disease progression and a possible involvement of the deep venous system.
在对一名49岁女性左下肢大隐静脉功能不全进行泡沫硬化治疗4天后，她出现了足背静脉弓的浅静脉血栓形成。在随访过程中，重复的彩色双功超声检查最初未显示深静脉系统受累，因此，她接受了非甾体类抗炎药和加压弹力袜治疗。然而，在泡沫治疗六周后，我们诊断出腘静脉深静脉血栓形成（DVT），并开始口服抗凝治疗。虽然很少见，但DVT是泡沫硬化治疗最严重的并发症之一。因此，我们建议，对于发生在非治疗静脉附近的浅静脉血栓形成，应进行定期随访检查，以防止漏诊疾病进展及深静脉系统可能受累的情况。
