In aseptic superficial thrombophlebitis, which treatment is appropriate?

• A. Anticoagulation
• B. Nonsteroidal anti-inflammatory drugs
• C. IV antibiotics
• D. Surgery

Answer: (B)

Aseptic superficial thrombophlebitis is an inflammatory process of a superficial vein without infection, so treatment focuses on symptom relief rather than antibiotics or surgery. Nonsteroidal anti-inflammatory drugs address the pain and inflammation driving the symptoms and are the first-line approach. Local measures such as warm compresses, leg elevation, and, if helpful, compression stockings can also ease discomfort and swelling. Antibiotics aren’t needed because there’s no bacterial infection. Anticoagulation isn’t routinely used for a simple, isolated superficial vein thrombosis, though it may be considered if the clot extends into the deep venous system or other high-risk factors are present. Surgery is not indicated in this uncomplicated scenario.