Various Vein Problems - from spiders to venous stasis ulcers
What is a telangiectasia (spider vein)?
A telangiectasia is a confluence of dilated intradermal venules of less than 1 mm in caliber. Telangiectasia are more commonly known as spider veins and thread veins.
What is a reticular vein?
A reticular vein is a dilated bluish intradermal vein, usually from 1 mm in diameter to less than 3 mm in diameter. They are usually tortuous. Reticular veins are also known as blue veins, intradermal varices and venulectasias.
What is a varicose vein?
A varicose vein is a subcutaneous dilated vein larger than 3 mm in diameter in the upright posture. Varicose veins are also known as varix, varices and varicosities.
A fan shaped pattern of small intradermal veins on the medial (inside) or lateral (outside) of the ankle and foot is called corona phlebectatica. Corona phlebectatica is thought to be an early sign af advanced vein disease. Other names for corona phlebectatica include malleolar flare and ankle flare.
Edema is tissue fluid in the skin and subcutaneous (fat) and is measured by the amount of skin indentation left with digital pressure. It is associated with venous reflux disease.
Hyperpigmentation is the discoloration (bronze-brown or purple) of the skin in patients with chronic venous reflux disease and chronic inflammation of varicose veins. Hyperpigmentation occurs in the ankles, feet and lower legs in patients with venous disease.
Stasis Dermatitis is a type of dermatitis related to chronic venous reflux disease and inflamed varicose veins. It can be a blistering, weeping or scaling skin eruption and occurs in the legs.
Lipodermatosclerosis is chronic inflammation with resultant fibrosis of the skin where the skin of the lower leg becomes scarred in a circumferential manner and the leg looks tapered like the 'chicken leg'.
Atrophie Blanche is translated from the French language, it literally means 'white atrophy'. It is often circular, whitish and atrophic skin associated with skin hyperpigmentation. This is a sign of severe venous disease.
A venous stasis ulcer is a nonhealing wound in the legs and ankles related to chronic venous insufficiency.