CLASSIFICATION CEAP OF THE CHRONIC Varicose ILLNESS
1- CEAP classification
Clinical C : Asymptomatic ou Symptomatic
Clinical C : Scale from 0 to 6
- class 0 : No visible or palpable signs of illness
- class 1 : telangiectasias ou reticular veins
- class 2 : varicose veins
- class 3 : edema
- class 4 : Localized skin disorders of venous origin. (discoloration, eczema, subcutaneous infection)
- class 5 : Localized skin disorder such as class 4 but with scarred ulcer
- class 6 : Localized skin disorder such as class 4 but with non-scarred ulcer
Etiology E : Congenital - Primary - Secondary
Anatomical feature A : Superficial - deep - Perforanting
Physiopathologiy P : Reflux - Obstruction - Both : Reflux + Obstruction
2 - Handicap score
Clinical : scale from 0 to 3
0 : asymptomatic
1: symptomatic but able to function on a day to day basis without the need for compression stockings.
2: Able to work up to 8 hours per day with compressive stockings.
3: Inability to work whatsoever.
SYMPTOMS
1- Varicose veins can be asymptomatic and discovered during a routine physical examination.
They can also cause
2 – a cosmetic annoyance : unsightly venous dilation., dark spots, multiple bursts of venules. (telangiectasia)
3 – Heavy leg syndrome affects 64% of varicose prone patients.
- pain, feelings of heaviness, cramps of the legs,
- felt when standing still for a long time
- appeased when lying down.
All of these symptoms are generally worsen by heat, standing and sitting.
4 - Swelling of the ankles and calves not present in the morning but increasing along the day.
5 – complications :
- hemorrhaging
- varicose eczema : itching
- brown skin spot
- superficial thrombosis
- deep vein thrombosis
- pulmonary embolism
- varicose ulcer, long to heal and relapsing as long as varicose veins are left untreated.
Disease
Marc FITOUSSI M.D.
18-22 Queen Anne Street
W1G 8HU London
+44 20 7034 3326
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