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Chapter-03 Skin Changes in Venous Insufficiency

BOOK TITLE: Sclerotherapy in Dermatology

Author
1. AS Savitha
2. BM Shashi kumar
ISBN
9789352702060
DOI
10.5005/jp/books/18040_4
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Bangalore Medical College and Research Institute, Bengaluru, India, Victoria Hospital, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India, Sapthagiri Institute of medical sciences and research institute, Bengaluru, Karnataka, India, Sapthagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India, Saptagiri Institute of Medical Sciences and Research Center, Bengaluru, Karnataka, India
2. Mandya Institute of Medical Sciences, Mandya, Karnataka, India, Mandya Institute of Medical Sciences, Mandya, Karnataka, India; Indian Association of Dermatologists, Venereologists and Leprologists (IADVL); IADVL Karnataka Branch
Chapter keywords
Venous insufficiency, eczema, vein valve, cosmetic concerns, edema, corona phlebectatica paraplantaris, superficial thrombophlebitis, hemorrhage, pigmentation, pressure erythema

Abstract

Venous insufficiency is one of the commonest causes for eczema and pigment changes over the lower limbs. It can occur due to number of reasons. Most common are the occupations which involve standing for prolonged period of time. The vein valves and walls are affected by the progesterone levels cyclical changes in females. Varicose veins are often symptomatic in addition to being unsightly. A significant proportion of patients complain of lower limb symptoms, which they attribute to varicose veins. They are heaviness, swelling, aching, restless legs, itching, tingling and discoloration. Uncomplicated varicose veins are rarely painful. Patients with varicose veins present in one of the three categories following as cosmetic, symptomatic or with one of the complications of venous disease. This chapter covers the cosmetic concerns, edema, corona phlebectatica paraplantaris (ankle flare), superficial thrombophlebitis, hemorrhage, pigmentation, pressure erythema, eczema, lipodermatosclerosis, atrophie blanche, ulceration, and other rare complications.

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