Ivanov E V
Angiol Sosud Khir. 2005;11(2):135-40.
Varicose eczema is a frequently occurring complication due to chronic venous insufficiency. In view of the fact that the complicated forms of chronic venous insufficiency (classes 4-6 according to the clinical classification CEAP) are associated with the presence of dermatological lesions, the reliable diagnosis of the given pathology presents a matter of great concern. For the phlebologist end, not infrequently, for the dermatologist the diagnosis of varicose eczema may be difficult because of the diversity of its manifestations. Also, there is a number of diseases that look like varicose eczema but require a different approach to the treatment. The Russian literature practically lacks the works related to varicose eczema. The problems of the diagnosis and treatment including the organizational aspects have not been worked out. The surgeons hold that this disease is dermatological whereas the dermatologists view it as surgical. As a result, the majority of patients do not receive adequate treatment. The paper describes the phlebologist's standpoint of the problem of varicose eczema. Part II of the paper reviews the differential diagnosis of varicose eczema.
静脉曲张性湿疹是慢性静脉功能不全常见的并发症。鉴于慢性静脉功能不全的复杂形式（根据CEAP临床分类为4 - 6级）与皮肤病变相关，对这种特定病理状况进行可靠诊断备受关注。对于血管外科医生而言，静脉曲张性湿疹的诊断常常存在困难，而皮肤科医生也会因该病表现多样而感到棘手。此外，还有一些疾病看似静脉曲张性湿疹，但治疗方法却有所不同。俄罗斯文献中几乎没有关于静脉曲张性湿疹的著作。包括组织层面在内的诊断和治疗问题尚未得到解决。外科医生认为这种疾病属于皮肤科范畴，而皮肤科医生则将其视为外科疾病。结果，大多数患者未能得到充分治疗。本文阐述了血管外科医生对静脉曲张性湿疹问题的观点。本文第二部分回顾了静脉曲张性湿疹的鉴别诊断。
