Schadeck M
Phlebologie. 1986 Jan-Mar;39(1):101-11.
The author describes the case of a child aged 11 spontaneously presenting a right surral phlebitis. The positive diagnosis was made immediately, with the aid of Functional vascular Investigation, that is venous Doppler and venous occlusion rheoplethysmography. A standard X-ray showed the existence of a right posterior femoral exostosis which looked as though it had been a causal factor in this phlebitis. However, the aetiological proof of this could not be given until seven months later, using phlebography. A survey of the existing literature does not reveal a comparable spontaneous case, without associated causal traumatism. For one thing, femoral osteogenic exostoses do not, despite their frequent occurrence, provoke more than a minimum of vascular complications, affecting the femoral or popliteal veins in particular. For another, spontaneous phlebitis in children are extremely rare and when they do occur it is as a result of haemopathies or collagenoses. Functional Vascular Investigation, now common practice in adults, made it possible to follow very precisely the development of the phlebitis in this child, and to check up on its sequelae. The great correlation between these functional investigations and clinical explorations and phlebography confirms their merit. They could be applied more systematically in infantile pathology.
作者描述了一名11岁儿童自发出现右侧腓静脉炎的病例。借助功能性血管检查，即静脉多普勒和静脉阻塞血流容积描记法，立即做出了阳性诊断。标准X线检查显示右股骨后外侧有骨疣，似乎是此次静脉炎的一个病因。然而，直到七个月后采用静脉造影术才得以给出这方面的病因证据。对现有文献的调查未发现无相关因果创伤的类似自发病例。一方面，股骨骨生性骨疣尽管常见，但引发的血管并发症极少，尤其影响股静脉或腘静脉。另一方面，儿童自发性静脉炎极为罕见，一旦发生通常是血液病或胶原病所致。功能性血管检查如今在成人中已普遍应用，这使得能够非常精确地跟踪该患儿静脉炎的发展，并检查其后遗症。这些功能检查与临床检查及静脉造影之间的高度相关性证实了它们的价值。它们可更系统地应用于儿科病理学。
