Bornstein Kasha, LaRosa Elizabeth, Byrd Kelsey, Laney Dan, Ferral Hector, Murphy-Lavoie Heather
Louisiana State University Health Sciences Center, Department of Internal and Emergency Medicine, New Orleans, Louisiana.
Louisiana State University Health Sciences Center, Department of Emergency Medicine, New Orleans, Louisiana.
Clin Pract Cases Emerg Med. 2024 May;8(2):163-167. doi: 10.5811/cpcem.1905.
Phlegmasia cerulea dolens (PCD) is an uncommon, potentially life-threatening complication of acute deep venous thromboses that requires a timely diagnosis. The name of the condition, the visual diagnostic criteria, and the preponderance of cases in the literature referencing findings exclusively in patients with lighter skin complexions means that PCD may not be on the differential diagnosis for the patient with more melanated skin who is experiencing this time-sensitive vascular emergency.
We describe one case of PCD in a patient with darker skin complexion and the importance of identifying clinical findings, regardless of skin color, given the paucity of reference images for PCD in darker complected patients. Our literature review yielded 60 case reports for PCD. Only two papers included images referencing patients of color.
Accurate diagnosis requires recognition of diagnostic findings, which may vary significantly between phenotypically distinct populations. Many pathognomonic physical exam findings rely on descriptors based on presentation in phenotypically white patients.
股青肿是急性深静脉血栓形成的一种罕见且可能危及生命的并发症，需要及时诊断。该病症的名称、视觉诊断标准以及文献中绝大多数病例仅提及肤色较浅患者的研究结果，这意味着对于患有这种时间敏感型血管急症的深色皮肤患者而言，股青肿可能不在鉴别诊断范围内。
我们描述了一例深色皮肤患者的股青肿病例，并强调了识别临床症状的重要性，无论肤色如何，鉴于深色皮肤患者的股青肿参考图像较少。我们的文献综述得出了60例股青肿病例报告。只有两篇论文包含了有色人种患者的图像。
准确诊断需要识别诊断结果，而这些结果在表型不同的人群中可能有显著差异。许多具有诊断意义的体格检查结果依赖于基于表型为白人患者表现的描述。
