Investigation of the patient with a venous ulcer

McAree, B; Berridge, David

doi:10.1258/phleb.2010.010s04

Cited by 3 publications

(13 citation statements)

References 26 publications

(80 reference statements)

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“…The main complications of chronic venous ulcers are osteomyelitis and, more rarely, neoplastic transformation into squamous cell carcinoma. 3 We did not encounter such a complication in our patients.…”

Section: Discussionmentioning

confidence: 57%

“…Increased venous pressure can lead to telangiectasias, reticular veins, or varicose veins 6,18 . Varicose veins are the most obvious and earliest findings of CVI 3 . The prevalence of varicose veins is between 5% and 30%, and it is 3 times higher in women 4 .…”

Section: Discussionmentioning

confidence: 99%

“…6,18 Varicose veins are the most obvious and earliest findings of CVI. 3 The prevalence of varicose veins is between 5% and 30%, and it is 3 times higher in women. 4 Risk factors in varicose veins are female gender, family history, history of deep venous thrombosis, parity, and prolonged standing.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, changes in skin and ulceration are observed frequently when reflux and obstruction are combined. Additionally, recurrent deep vein thrombosis is more frequent in venous ulcers 3 …”

Section: Introductionmentioning

confidence: 99%

“…Additionally, recurrent deep vein thrombosis is more frequent in venous ulcers. 3 Venous pathology occurs when venous pressure increases and blood return is impaired. This situation might be led by valvular insufficiency or venous obstruction in deep, superficial, or perforating veins; besides, all calf muscle pump dysfunction also contributes to this condition.…”

Section: Introductionmentioning

confidence: 99%

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Cutaneous findings in patients with chronic venous insufficiency

Kılınç

Akbaş

Şener

et al. 2021

J of Cosmetic Dermatology

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Background Venous hypertension causes many different cutaneous findings such as varicosities, telangiectasia, edema, and pigmentation, dermatitis, and venous ulcers on the skin. Objective This study aims to investigate the cutaneous signs and symptoms of chronic venous insufficiency (CVI) and to examine their contribution to early diagnosis. Methods A total of 150 patients were included in the study who applied to the dermatology outpatient clinic and were diagnosed with skin disease related to CVI or had skin findings. Patient's age, gender, complaints, occupation, additional diseases, drug usage, history of prolonged standing and travel, smoking habit, number of pregnancies, history of varicose veins in the family, dermatological diagnosis/findings, and venous Doppler ultrasonography reports were examined retrospectively. Results 56% of patients were women. Mean age was 56.69 ± 13.6 years. Overall, 82.7% of total patients had at least one skin finding. The most frequent skin findings except varicose veins were insufficiency dermatitis accounted for 32.7% of patients, telangiectasia, and pigmentation which were comprised 25.3%, 19.3% of the total number of patients respectively. In addition to this, 48.7% of patients had itching problems and 32.7% had pain. Moreover, 46% of patients presented superficial vein insufficiency, while 8.7% had deep vein insufficiency. For 47.3% of patients, vein diameter dilation was observed and 11.3% suffered from perforating vein insufficiency. In terms of Clinical‐Etiologic‐Anatomic‐Pathophysiologic (CEAP) classification, scores of 52% of the patients were C3 and lower, while scores of 48% of total patients were C4a and higher. Conclusions Early diagnosis and treatment of chronic venous insufficiency could prevent further chronic processes such as venous ulceration which is an advanced CVI finding. Thus, assessing the early skin findings might be important to identify the underlying venous insufficiency disease.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cutaneous findings in patients with chronic venous insufficiency

Kılınç

Akbaş

Şener

et al. 2021

J of Cosmetic Dermatology

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Clinical Features, Evaluation, and Management of Lipodermatosclerosis and Chronic Venous Disease—Literature Review

Tienthavorn

2022

SN Compr. Clin. Med.

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An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

et al. 2023

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Arterial and venous insufficiency are two major causes of chronic wounds with different etiology, pathophysiology, and clinical manifestations. With recent advancements in clinical examination, clinicians are able to obtain an accurate diagnosis of the underlying disease, which plays an important role in the treatment planning and management of patients. Arterial ulcers are mainly caused by peripheral artery diseases (PADs), which are traditionally examined by physical examination and non-invasive arterial Doppler studies. However, advanced imaging modalities, such as computed tomography angiography (CTA) and indocyanine green (ICG) angiography, have become important studies as part of a comprehensive diagnostic process. On the other hand, chronic wounds caused by venous insufficiency are mainly evaluated by duplex ultrasonography and venography. Several scoring systems, including Clinical–Etiology–Anatomy–Pathophysiology (CEAP) classification, the Venous Clinical Severity Score (VCSS), the Venous Disability Score, and the Venous Segmental Disease Score (VSDS) are useful in defining disease progression. In this review, we provide a comprehensive overlook of the most widely used and available clinical examinations for arterial and venous insufficiency wounds.

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Investigation of the patient with a venous ulcer

Cited by 3 publications

References 26 publications

Cutaneous findings in patients with chronic venous insufficiency

Cutaneous findings in patients with chronic venous insufficiency

Clinical Features, Evaluation, and Management of Lipodermatosclerosis and Chronic Venous Disease—Literature Review

An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

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