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April 1, 1961

Intermittent Claudication on a Venous Basis: Case Report

Author Affiliations


From the Vascular Section of the Robinette Foundation, Medical Clinic, Hospital of the University of Pennsylvania.; Dr. Weiss is now Assistant Resident in Medicine, Barnes Hospital, Washington University, St. Louis.

JAMA. 1961;175(13):1178-1180. doi:10.1001/jama.1961.63040130010021

THE FOLLOWING is a report of a case of intermittent claudication on a venous, rather than an arterial, basis. German authors1-4 have described cases of "intermittent claudication" of the arm, associated with pain and swelling, due to trauma to the major venous drainage. In our patient, intermittent claudication in a leg followed iliofemoral phlebitis, and there was little or no chronic edema and no ulceration. We have been unable to find a similar case report in the American or European literature.

Report of a Case  The patient was a 32-year-old white housewife. Three and one-half years prior to being seen by us, when two and one-half months pregnant, she experienced pain in the left lower quadrant of the abdomen and in the left femoral triangle. This was associated with nausea and vomiting and swelling of the entire left leg. A diagnosis of left iliofemoral phlebitis and pelvic phlebitis

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