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June 1986

Thromboneurosis: A New Term for Postphlebitic Neurosis?

Arch Intern Med. 1986;146(6):1237. doi:10.1001/archinte.1986.00360180257055

To the Editor.  —In the October issue of the Archives, Jacques R. Leclerc, MD, and his co-workers1 provide an excellent assessment of the laboratory measures useful in reaching a diagnosis of acute deep vein thrombosis and postphlebitic syndrome. They also suggest that the term thromboneurosis be applied to the unexplained disability that sometimes affects patients after acute deep vein thrombosis, with the implication that this syndrome is newly recognized.The wheel need not have been reinvented: two of the most distinguished vascular specialists of this century, Edgar Allen, MD, and George Brown, MD, of the Mayo Clinic, Rochester, Minn, first described this disorder in 1931.2 They so sensitized their trainees in the vascular service in the Mayo Clinic to its importance that several of us reviewed the Mayo Clinic experience in 1962 and made subsequent observations, which we called postphlebitic psychoneurosis.3-5Dr Leclerc and colleagues also state

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