Goldenberg et al listed criteria for the diagnosis of the post-thrombotic syndrome in a child who has had a venous thrombosis. The authors are from the Mountain States Regional Thrombophilia Group in Colorado.
Parameters:
(1) pain
(2) clinical examination for edema, collateral circulation, venous stasis dermatitis and/or ulceration
|
Pain Parameters |
Finding |
Points |
|
with aerobic exercise |
absent |
0 |
|
|
present |
1 |
|
during the activities of daily living |
absent |
0 |
|
|
present |
1 |
|
at rest |
absent |
0 |
|
|
present |
1 |
total points for pain =
= SUM(points for all 3 pain parameters)
|
Clinical Parameters |
Finding |
Points |
|
edema |
none or not clinically visible |
0 |
|
|
clinically visible or measurable |
1 |
|
collateral circulation |
absent |
0 |
|
|
visible |
1 |
|
venous stasis dermatitis |
absent |
0 |
|
|
present |
1 |
|
ulceration |
absent |
0 |
|
|
present |
1 |
total points for clinical parameters =
= SUM(points for all 4 clinical parameters)
Interpretation:
• minimum number of pain or clinical parameters: 0
• maximum number of pain parameters: 3
• maximum number of clinical parameters: 4
The post-thrombotic syndrome is present if:
(1) total pain points >= 1 AND
(2) total clinical points >= 1
Specialty: Hematology Oncology, Clinical Laboratory
ICD-10: ,
