The most common complaint of patients with leg varicose veins is the deterioration in the appearance of the legs. Common complaints can be listed as follows.
Pain: It is a deep, dull pain that affects the entire leg and especially the area below the knee, giving a feeling of heaviness to the leg. It increases with standing for a long time and decreases with lifting the leg up.
Itching: Itching in the leg may be accompanied by warmth, burning sensation and throbbing. It usually occurs over varicose veins.
Swelling in the ankle: It may develop with mild to moderate swelling in the ankles, especially in the evening. The swelling decreases significantly by elevating the leg and taking a cold shower
Night cramps: It is one of the advanced symptoms of varicose veins. It is thought to be caused by venous hypertension that develops in the veins due to standing all day in patients with venous insufficiency.
Bleeding: In cases where the ankle pressure becomes very high due to venous insufficiency, (venous hypertension), major bleeding may occur with a slight trauma to the sensitive skin, and varicose veins, which are highly enlarged and close to the skin, may burst spontaneously and cause severe bleeding.
As the varicose vein problem progresses further, the color of the leg becomes darker (hyperpigmentation), the skin loses its elasticity and hardens (Lipodermosclerosis), and in the last stage, wounds (venous ulcer) occur. It is among the results that can be seen.
It is seen that varicose veins are generally ignored until they reach the serious bruising stages that are visible to the eye. Varicose veins, which are primarily seen as a cosmetic and aesthetic problem, can cause clotting and inflammation in the vein (thrombophlebitis) if not treated at the right time. It is also known that this situation causes vascular occlusions and the rupture of the clot, causing blockage in the lungs (pulmonary embolism) and respiratory failure leading to death.
“CEAP CLASSIFICATION” IN VENOUS INSUFFICIENCY.
The problem of lack of diagnostic accuracy in chronic venous diseases has been experienced for a long time, which has led to mixed results regarding the same disease in different studies. has happened. In 1994, a classification and staging of chronic venous insufficiency called CEAP was published in the "American Venous Forum". The purpose of this classification is to provide an objective classification system that is valid all over the world. The classification takes its name from the initials of the words Clinical, Etiological, Anatomical and Pathological.
However, in current practice, the clinical part of this classification is used. Patients with no visible or palpable signs of venous disease C0, Presence of telangiectasia and reticular veinsC1, Presence of varicose veins C2, varicose veins accompanied by edema C3, development of skin changes is classified as C4, presence of healed ulcers and skin changes with varicose veins is classified as C5, presence of active ulcer is classified as C6 . S is added to the end of these in symptomatic patients, and A is added to asymptomatic patients.
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