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Article
February 23, 1976

The Swollen Leg: Causes and Treatment

Author Affiliations

Harvard Medical School Boston

JAMA. 1976;235(8):860. doi:10.1001/jama.1976.03260340064034

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Abstract

The special feature of this short book is its elaborate consideration of the physiological basis of edema, particularly as manifested in venous and lymphatic disease. The material is generally well done. However, I could not agree with their theory that the trophic changes of venous stasis are due mainly to arteriovenous shunting. I also found inadequate the consideration of the pathogenesis of swelling in pregnancy.

Clinical matters are presented rather skimpily. In some instances these two European authors (Johnson from England, and Pflug from Germany) present viewpoints quite different from those generally held in the United States.

Thus, while acute thrombophlebitis is presented, pulmonary embolism receives little mention in the text, except for an appendix on mortality rates from this complication. It does not appear in the index. They mention Buerger's disease as the only generalized entity to be thought of in connection with "phlebitis migrans" of the lower limb.

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