Leg pain, vascular M79.60

Disease

Findings

Arterial condition

Arteriosclerosis

Patients mostly > 50 years (juvenile arteriosclerosis possible)Claudication
intermittens (pain after a definable walking distance)
Cardiovascular concomitant diseases (hypertension, apoplexy, heart failure)
Risk factors (nicotine, cholesterol, triglycerides, uric acid)

endangiitis obliterans

Mostly < 40 years, men, inflammatory paraclinic, often no intermittent claudication, distal resting gangrene pain, no indications of arteriosclerosis, no cardiovascular diseases

Acute arterial occlusion
(embolism/thrombosis)

Dramatic event with sudden severe pain
, distal to the obliteration site with paleness, cold, disturbance of sensitivity and motor function

Leriche Syndrome

Sudden severe pain in the pelvis and both legs

Raynaud's Syndrome

Seizure-like bilateral pain with skin discoloration (pale blue and red)

Aneurysm

Severe persistent pain (typical of the location)

Venous condition

Chronic venous insufficiency

Feeling of tension and heaviness, fatigue of the legs, especially on the lower leg and in the ankle region, increased after standing and sitting

thrombophlebitis superficialis

Local pressure pain, palpable, reddened, painful venous strand

Deep vein thrombosis

Pain of varying intensity, depending on location, edematous leg, often starting in the calf

Phlegmasia coerulea dolens

suddenly strong pain, edema, cyanosis, possibly gangrene

lymphogenic

Lymphangitis

Pain in wound, infected red strand

Lymphedema

Feeling of heaviness, rough edema