Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • dilated tortuous veins

Other diagnostic factors

  • leg fatigue or aching with prolonged standing
  • leg cramps
  • restless legs
  • hemosiderin deposition
  • corona phlebectatica
  • itching
  • lipodermatosclerosis
  • ankle swelling
  • ulceration
  • bleeding from varices

Risk factors

  • increasing age
  • FHx
  • female gender
  • increasing numbers of births
  • DVT
  • occupation with prolonged standing
  • obesity

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Professor of Surgery

University of Arizona Health Science Center

Vascular and Endovascular Surgery Section Staff

Tucson Medical Center

Tucson

AZ

Disclosures

LRL declares that he has no competing interests.

Dr Luis R. Leon Jr would like to gratefully acknowledge Dr Maureen K. Sheehan and Dr Boulos Toursarkissian, previous contributors to this topic. MKS and BT declare that they have no competing interests.

Peer reviewers VIEW ALL

Medical Director/Consultant Vascular Surgeon

Bedford Hospital

Bedford

UK

Disclosures

PT declares that he has no competing interests.

Director

Morrison Vein Institute

Scottsdale

AZ

Disclosures

NM declares that he has no competing interests.

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