What is the best treatment for varicose veins with sclerotherapy for systemic lupus erythematosus patients?

Knowing your background with systemic lupus erythematosus and any other medical history is always important prior to vein treatment. A proper evaluation from a vein specialist is highly recommended for a personalized treatment plan. Proper vein treatment is very safe, and your SLE shouldn’t affect how your varicose and spider veins are treated. If left untreated, severe varicose veins can ultimately lead to chronic leg swelling, eczema-type symptoms, skin thickening and discoloration, and even ulcerations that won’t heal until the veins are treated. 

As a general answer, Lupus is not a contraindication to having sclerotherapy to treat spider veins. However, prior to having veins treated, you should have the area examined and have a medical history taken by a specialist in the treatment of vein disease to determine the best options in your particular case.  

SLE is not a contraindiction to safe treatments for venous insufficiency, varicose veins, reticular veins and spider veins. Endovenous laser, RF ablation, microphlebectomy, sclerotherapy has been done in my practice for patients with SLE. It is imperative that you seek evaluation by a board certified physician who takes your history, examines you and gives you a safe treatment plan. Additionally, seek an ABVLM certified vein specialist who can offer you the best treatments that are based on sound scientific studies. Read the free ebook below about venous insufficiency. Hratch L Karamanoukian MD FACS

I have treated several patients on immunosuppressants with sclerotherapy and surface laser for spider veins. In my experience, I would recommend a test patch. Often times, these medications do increase your risk of staining and discoloration following treatments. It is safe to do either treatment. I am assuming you might be taking Myfortic with a steroid? If so, that can increase your sensitivity towards the treatments. A test patch is always a good idea when you are these types of medications. Good luck!

Sclerotherapy may give you the results you are looking for to treat spider veins. However, consider a visit to a vein specialist who you can trust. Using ultrasound to scan your legs, your physician will determine if venous reflux is present. According to the results the vein specialist can help you decide the best treatment option for you according to your specific goals and also taking in consideration pros and cons related to your medical history. In essence, healthy veins contain valves that open and close to assist the return of blood back to the heart. When these valves that keep blood flowing out of the lower extremities and back to the heart are not longer functioning is call venous reflux. Because of reflux the blood pool in the legs can lead to signs and symptoms like varicose veins, swelling, pain, cramps, burning sensation or itching of the skin, and other changes in the lower extremities. Factors that contribute to this include age, gender, family history, heavy lifting, pregnancies, obesity, and prolonged standing. There are many options to treat you if reflux is present including sclerotherapy if your physician recommends its use in combination with other treatments or by itself. 
All the best, 

I would recommend that you see a vein specialist to evaluate your veins to determine the best method of treatment for you.  You may require a venous ultrasound to ensure that you just have spider veins or an underlying reason for your veins.  In general, sclerotherapy is a safe procedure in patients with lupus but you should have a full evaluation by a vein specialist before undergoing any treatment.