Clinical Presentation and Classification of Chronic Venous Disease
Effective communication about diseases of the blood vessels requires a classification that categorizes patients into well-defined groups which can be reliably reproduced. The classification needs to be capable of distinguishing two dissimilar conditions which have the same external appearance by elements in the classification other than the appearance. This is particularly important in chronic venous disease where similar external features, such as discoloration, skin changes, and even ulceration are found in individuals with widely divergent venous pathology. Consider the extremities pictured in Fig. 5.1 and Fig. 5.2. The limb in Fig. 5.1 bears the appearance of the classical “post-phlebitic” leg so often discussed in the literature.
KeywordsVaricose Vein Venous Disease Disability Score Great Saphenous Vein Superficial Vein
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