Ankara City Hospital, Dermatology, Ankara, Turkey.
Private Clinic, Dermatology, Ankara, Turkey.
J Cosmet Dermatol. 2022 May;21(5):2106-2112. doi: 10.1111/jocd.14337. Epub 2021 Jul 16.
Venous hypertension causes many different cutaneous findings such as varicosities, telangiectasia, edema, and pigmentation, dermatitis, and venous ulcers on the skin.
This study aims to investigate the cutaneous signs and symptoms of chronic venous insufficiency (CVI) and to examine their contribution to early diagnosis.
A total of 150 patients were included in the study who applied to the dermatology outpatient clinic and were diagnosed with skin disease related to CVI or had skin findings. Patient's age, gender, complaints, occupation, additional diseases, drug usage, history of prolonged standing and travel, smoking habit, number of pregnancies, history of varicose veins in the family, dermatological diagnosis/findings, and venous Doppler ultrasonography reports were examined retrospectively.
56% of patients were women. Mean age was 56.69 ± 13.6 years. Overall, 82.7% of total patients had at least one skin finding. The most frequent skin findings except varicose veins were insufficiency dermatitis accounted for 32.7% of patients, telangiectasia, and pigmentation which were comprised 25.3%, 19.3% of the total number of patients respectively. In addition to this, 48.7% of patients had itching problems and 32.7% had pain. Moreover, 46% of patients presented superficial vein insufficiency, while 8.7% had deep vein insufficiency. For 47.3% of patients, vein diameter dilation was observed and 11.3% suffered from perforating vein insufficiency. In terms of Clinical-Etiologic-Anatomic-Pathophysiologic (CEAP) classification, scores of 52% of the patients were C3 and lower, while scores of 48% of total patients were C4a and higher.
Early diagnosis and treatment of chronic venous insufficiency could prevent further chronic processes such as venous ulceration which is an advanced CVI finding. Thus, assessing the early skin findings might be important to identify the underlying venous insufficiency disease.
静脉高压会导致许多不同的皮肤表现，如静脉曲张、毛细血管扩张、水肿、色素沉着、皮炎和静脉溃疡。
本研究旨在探讨慢性静脉功能不全（CVI）的皮肤征象和症状，并研究其对早期诊断的贡献。
共纳入 150 例患者，这些患者因与 CVI 相关的皮肤病或皮肤表现就诊于皮肤科门诊。回顾性分析患者的年龄、性别、主诉、职业、合并疾病、用药情况、久站和长途旅行史、吸烟史、妊娠次数、家族静脉曲张史、皮肤科诊断/发现和静脉多普勒超声检查报告。
患者中 56%为女性，平均年龄为 56.69±13.6 岁。总体而言，82.7%的患者至少有一种皮肤表现。除静脉曲张外，最常见的皮肤表现为功能不全性皮炎（32.7%）、毛细血管扩张和色素沉着（分别占 25.3%和 19.3%）。此外，48.7%的患者有瘙痒问题，32.7%的患者有疼痛。此外，46%的患者有浅静脉功能不全，8.7%的患者有深静脉功能不全。47.3%的患者静脉直径扩张，11.3%的患者有穿通静脉功能不全。根据临床病因解剖病理生理（CEAP）分类，52%的患者评分在 C3 及以下，而 48%的患者总评分在 C4a 及以上。
早期诊断和治疗慢性静脉功能不全可以预防静脉溃疡等进一步的慢性病变，静脉溃疡是 CVI 的晚期表现。因此，评估早期皮肤表现对于识别潜在的静脉功能不全疾病可能很重要。
