[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.62.139. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
September 13, 1930

THE VARICOSE VEINS SLOUGH

Author Affiliations

LOS ANGELES

JAMA. 1930;95(11):787-789. doi:10.1001/jama.1930.02720110023007
Abstract

Communications that I have received show that sloughs following the injection treatment of varicose veins are occurring with more frequency than one would suppose from case series reported. These sloughs, if not properly treated, may cause prolonged disability. The literature on the subject is not only disappointing but actually misleading—disappointing because it gives no adequate guidance to those so unfortunate as to have incurred these accidents, and misleading because, as I shall show, it contains misstatements partly responsible for the sloughs.

DIAGNOSIS  An absolute diagnosis cannot be made at the time of injection. As has been frequently stated, some injection fluids, if they escape outside a vein, cause an immediate burning pain at the site of injection; but the converse statement does not hold true. An immediate pain at the site of injection does not necessarily mean an extravascular escape of fluid. Many perfect injections give pain at the site

First Page Preview View Large
First page PDF preview
First page PDF preview
×