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What Causes Redness On Inner Thigh While Treating BP And Atrial Fibrillation?
Question: History: High Blood Pressure; Two stents placed Left & Front (95% Blockage) 5/7/2015. Vein issues: Two veins lazered from knee to groin both legs (2014)
Meds: Diovan 160; HCT 12.5; Clopicogrel 75MG; 81 Aspirin (3 to 4 weeks ago, Stopped taking Metoprolol Succ ER 50MG due to pain in hips - became very lame (Went away when stopped taking)
Diagnosed: Moderate to Sevier Sleep Apnea; A Fib under excursion in hot weather (4 episodes-4 Months) stops when resting. 48 hour heart monitor in A Fib 2% of the time, in and out, in and out.
A week ago: In A Fib for about 3 or 4 hours last Saturday, 8/29/2015.
Yesterday 9/6/2015: Developed a red area size of baseball on inside left thigh; sore to the touch seems to be getting warm. Doesn't hurt when setting. Pain seems to be on the outside of the muscle NOT a deep pain? With A Fib it makes me a little concerned. Believe to be in the same area the vein was lazered last year. Have any suggestions or concerns?
Meds: Diovan 160; HCT 12.5; Clopicogrel 75MG; 81 Aspirin (3 to 4 weeks ago, Stopped taking Metoprolol Succ ER 50MG due to pain in hips - became very lame (Went away when stopped taking)
Diagnosed: Moderate to Sevier Sleep Apnea; A Fib under excursion in hot weather (4 episodes-4 Months) stops when resting. 48 hour heart monitor in A Fib 2% of the time, in and out, in and out.
A week ago: In A Fib for about 3 or 4 hours last Saturday, 8/29/2015.
Yesterday 9/6/2015: Developed a red area size of baseball on inside left thigh; sore to the touch seems to be getting warm. Doesn't hurt when setting. Pain seems to be on the outside of the muscle NOT a deep pain? With A Fib it makes me a little concerned. Believe to be in the same area the vein was lazered last year. Have any suggestions or concerns?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern about that red area of baseball size inside left thigh, strong suspicions are raised of a possible vein complication such as a vein thrombosis (phlebothrombosis) or inflammation (phlebitis).
Though it is considered a rare complication of endovascular laser therapy (ablation), vein thrombosis has been identified as a possible adverse effect of laser application.
To identify such vein complications, it is necessary to perform a careful medical check up (physical exam coupled with some blood tests, like complete blood count, PCR, D-dimer, etc, and especially lower limbs vascular ultrasound examination, which will reveal the type of a possible endothermal heat-induced thrombosis).
If a vein thrombosis is confirmed, depending on the type of EHIT (endothermal heat-induced thrombosis) anticoagulation may be necessary.
Another possible explanation of your clinical scenario is an arteriovenous fistula (which in fact is a very rare complication, depending on the technique applied and the operator expertise). A careful physical exam and a vascular ultrasound will rule in/out such a complication, as well.
I recommend you consulting with your attending physician about the above mentioned issues, to guide you through the diagnosis work up process.
Hope to have been helpful!
Feel free to ask me whenever you need! Greetings! Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern about that red area of baseball size inside left thigh, strong suspicions are raised of a possible vein complication such as a vein thrombosis (phlebothrombosis) or inflammation (phlebitis).
Though it is considered a rare complication of endovascular laser therapy (ablation), vein thrombosis has been identified as a possible adverse effect of laser application.
To identify such vein complications, it is necessary to perform a careful medical check up (physical exam coupled with some blood tests, like complete blood count, PCR, D-dimer, etc, and especially lower limbs vascular ultrasound examination, which will reveal the type of a possible endothermal heat-induced thrombosis).
If a vein thrombosis is confirmed, depending on the type of EHIT (endothermal heat-induced thrombosis) anticoagulation may be necessary.
Another possible explanation of your clinical scenario is an arteriovenous fistula (which in fact is a very rare complication, depending on the technique applied and the operator expertise). A careful physical exam and a vascular ultrasound will rule in/out such a complication, as well.
I recommend you consulting with your attending physician about the above mentioned issues, to guide you through the diagnosis work up process.
Hope to have been helpful!
Feel free to ask me whenever you need! Greetings! Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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