「晴天の霹靂」のBlueと有痛性青股腫(Phlegmasia cerulea dolens)のBlueを掛けたタイトルでした。
Word Count：2761語 (Time: 15'33'', 178 wpm)
- This case highlights the importance of recognizing a rare condition (phlegmasia cerulea dolens) that requires prompt treatment to minimize the risk of morbidity and death.
- The triad of asymmetric leg swelling, cyanosis, and pain is highly suggestive of phlegmasia cerulea dolens, a rare syndrome seen in cases of massive proximal venous thrombosis that is severe enough to cause arterial insufficiency.
- Phlegmasia cerulea dolens (“cerulea” is from the Latin word for “blue”) occurs in the context of complete obstruction of both superficial and deep venous return. The resultant severe venous congestion leads to increased pressure on small arterioles and to tissue ischemia, characterized by a cyanotic or dusky appearance, that may progress to frank gangrene.