Patients present with an acutely swollen and aching arm.
On examination, the hand, forearm and arm are swollen with with a bluish tinge and tenderness over the axillary vein.
Sensation is normal. The veins on the back of the hand do not collapse when the hand is raised above the level of the heart.
Symptoms gradually subside as a collateral venous circulation develops, usually over 2-3 months.
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