Introduction to migratory phlebitis

Migratory phlebitis usually occurs in adolescents and may present as generalized itching or other symptoms. For a disease like migratory phlebitis, as long as we exercise more in our lives and do not compress blood vessels for a long time, this disease will not be caused. Therefore, for such a disease, as long as we understand its cause, we can better avoid its occurrence. If this disease is discovered, it must be treated in time.

Migratory superficial phlebitis refers to superficial phlebitis that recurs and reoccurs in various parts of the body. Superficial thrombophlebitis is a common clinical disease. Both men and women can be affected, but it is more common in young and middle-aged people. Superficial thrombophlebitis can occur in various parts of the body, usually in the limbs, followed by the chest and abdominal walls, and in a few cases, it is a migratory attack. The clinical features are: sudden occurrence of redness, swelling, burning, pain or tenderness along the course of superficial veins, and the appearance of cord-like objects or nodules. After the acute phase, the cords become hard and local skin pigmentation occurs.

Due to the differences in etiology, pathology and clinical characteristics, superficial thrombotic phlebitis of the limbs and chest and abdominal walls is also called benign superficial thrombotic phlebitis. Intermittent, recurrent thrombophlebitis is called migratory superficial phlebitis. This disease mainly invades small and medium-sized superficial veins, and has the histological morphology of thrombosis and inflammatory reaction of the venous wall. There is fibroblast infiltration under the vascular intima, accompanied by secondary thrombosis. The lumen blocked by thrombus can be recanalized due to organization. The venous wall may have connective tissue hyperplasia and inflammatory infiltration, occasionally with giant cells. There is rarely inflammatory reaction in the tissue near the diseased blood vessels, and there is no filmic inflammation.

The characteristics of this disease are: the nodules disappear quickly, most of them lasting only 7 to 18 days, the cords gradually become less obvious and eventually disappear, leaving local brown pigmentation, the nodules do not suppurate or become necrotic, and no edema forms in the affected limbs. Low fever, increased white blood cell count, accelerated erythrocyte sedimentation rate and other reactions may occur throughout the body. After each nodule disappears, there will be a break of several weeks or years, and the superficial veins in other parts of the body may have the same reaction again. The symptoms may recur repeatedly. After a long-term illness, the remaining pigmentation and cords may cover the entire body.

From the above article, we can clearly know that there are many causes of this migratory phlebitis, but no matter what the cause is, we need to treat it in time to prevent the spread of the disease. This migratory venous disease will recur and affect our physical health. I hope that patients can control the disease in time.