Skip to main content

Venous Telangiectasia and Reticular Veins: Clinical Class C1

  • Chapter
  • First Online:
Chronic Venous Disorders of the Lower Limbs
  • 1311 Accesses

Abstract

According to the CEAP classification, reticular veins and telangiectasias come under the C1 clinical class. These lesions are usually associated with truncal and tributary varices. Occasionally, they can present as independent lesions. Till recently, most of the C1 clinical class of patients were overlooked. There is a renewed interest in this subset of patients mainly due to two reasons. A significant number have symptoms of throbbing and pain, out of proportion to the visible extent and size of the varices. More than 80 % of patients with C1 lesions are women and cosmetic improvement is a major concern. With cosmetic dermatology evolving as an independent service, these lesions have assumed greater significance. This chapter focuses on the venous telangiectasias and reticular veins of the lower limbs associated with chronic venous disorders (CVD).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Eklof B, Rutherford RB, Bergan JJ, Carpentier PH, Gloviczki P, Kistner RL, Meissner MH, Moneta GL, Myers K, Padberg FT, Perrin M, Ruckley CV, Coleridge Smith P, Wakefield TW. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40:1248–52.

    Article  PubMed  Google Scholar 

  2. Mortimer PS, Burnand KG, Newmann HAM, Breathnach S. Diseases of veins and arteries; leg ulcer. In: Burns T, Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s text book of dermatology. 8th ed. Chichester: Wiley Blackwell; 2010. p. 2248–57; (47–12 to 47–15).

    Google Scholar 

  3. Sommer A, Van Mierlo PLH, Neumann HAM, Kessels AGH. Red and blue telangiectasias: difference in oxygenation? Dermatol Surg. 1997;23(1):55–9.

    Article  PubMed  CAS  Google Scholar 

  4. Weiss RA, Weiss MA. Sclerotherapy treatment of telangiectasias. In: Bergan JJ, editor. The vein book. Amsterdam/Boston: Elsevier; 2007. p. 133–8.

    Chapter  Google Scholar 

  5. Caggiati A, Bergan JJ, Gloviczki P, Janet G, Wendell- Smith CP, Partsch H. Nomenclature of the veins of the lower limbs: an international interdisciplinary consensus statement. J Vasc Surg. 2002;36:416–22.

    Article  PubMed  Google Scholar 

  6. Proebstle TM. Percutaneous laser therapy of telangiectasias and varicose veins. In: Gloviczki P, editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 390–9.

    Google Scholar 

  7. Goren G, Yellin AE. Primary varicose veins: topographic and hemodynamic correlation. J Cardiovasc Surg. 1990;31:672–7.

    CAS  Google Scholar 

  8. Sommereger BK, Karnel F, Petrovic SS, Saulter R. Do telangiectasias communicate with deep venous system? J Dermaol Surg Oncol. 1992;18:403.

    Article  Google Scholar 

  9. Vincent JR, Jones GT, Hill GB, van Rij AM. Failure of micro venous valves in small superficial veins is key to the skin changes of venous insufficiency. J Vasc Surg. 2011;54:62s–9.

    Article  PubMed  Google Scholar 

  10. Almeida JI, Raines JK. Treatment algorithms for telangiectasias and varicose veins: current guidelines. In: Gloviczki P, editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 439–45.

    Google Scholar 

  11. Lofgren KA. Varicose veins; their symptoms, complications and management. Postgrad Med. 1979;65:131–9.

    PubMed  CAS  Google Scholar 

  12. Somjen GM, Ziegenbein R, Johnston AH, Royle JP. Anatomical examination of leg telangiectases with duplex scan. J Dermatol Surg Oncol. 1993;19(10):940–5.

    Article  PubMed  CAS  Google Scholar 

  13. Villavicencio JL. Sclerotherapy in the management of varicose veins of the extremities. In: Gloviczki P, editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold; 2009. p. 366–79.

    Google Scholar 

  14. Sadik N, Sorhaindo L. Laser treatment of telangiectasias and reticular veins. In: Bergan JJ, editor. The vein book. Amsterdam/Boston: Elsevier; 2007. p. 157–65.

    Chapter  Google Scholar 

  15. Goldberg DJ. Current trends in intense pulsed light. J Clin Aesthet Dermatol. 2012;5(6):45–53.

    PubMed  PubMed Central  Google Scholar 

  16. Neumann HAM, Kockaert MA. Treatment of leg telangiectasia. J Cosmet Dermatol. 2003;2(2):73–81.

    Article  PubMed  CAS  Google Scholar 

  17. Fournier N, Brisot D, Mordon S. Treatment of leg telangiectases with 532 nm KTP laser in multipulse mode. Dermatol Surg. 2002;28(7):564–71.

    PubMed  CAS  Google Scholar 

  18. Adrian RM. Treatment of leg telangiectasia using a long pulsed frequency doubled neodymium:YAG laser at 532 nm. Dermatol Surg. 1998;24(1):19–23.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Subramoniam Vaidyanathan .

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer India

About this chapter

Cite this chapter

Vaidyanathan, S. (2015). Venous Telangiectasia and Reticular Veins: Clinical Class C1. In: Chronic Venous Disorders of the Lower Limbs. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1991-0_20

Download citation

  • DOI: https://doi.org/10.1007/978-81-322-1991-0_20

  • Published:

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-1990-3

  • Online ISBN: 978-81-322-1991-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics