Abstract
The patient was a 47-year-old female whom painful flare appeared on the medial side of the left lower leg in April 2003. The patient visited a physician, and was diagnosed as phlebitis. Anti-inflammatory and antiplatelet agents were administered, but the symptoms aggravated, and the patient was referred to our hospital in August 2003. On the first examination, induration accompanied by pain and flare was noted at a site consistent with the great saphenous vein on the medial side of the left lower leg. Administration of anti-inflammatory agent and antibiotics was initiated, but the symptoms did not improve, and the patient was admitted for treatment at the end of August 2003. Resting and drip infusion of antibiotics improved the symptoms, and the patient was discharged after 10 days. However, the induration recurred after discharge, and spread. Based on these findings, mobile phlebitis was diagnosed. Anticoagulant treatment was initiated around the middle of October 2003, but remission and aggravation repeatedly occurred. The patient was again observed from around the middle of April 2004, and the induration spontaneously remitted in early December 2004.