Dermatological manifestations of chronic venous insufficiency: A cross-sectional study from a Centre in South India
Journal Title: IP Indian Journal of Clinical and Experimental Dermatology - Year 2017, Vol 3, Issue 4
Abstract
Background: Chronic venous insufficiency (CVI) describes a condition that affects the venous system of the lower extremities with venous hypertension causing various pathologies including pain, edema, skin changes and ulceration. Amongst these, skin changes are one of the earliest signs. In India, it is an underestimated cause of morbidity causing work place absenteeism although exact statistics are unavailable. Objectives: To study the dermatological manifestations of CVI and correlate it with Venous Doppler scan findings. Methods: 100 patients with CVI were selected for the study and a detailed history-taking with clinical examination was conducted. A Venous Doppler scan was performed and the findings were correlated clinically. Results: In our study, the distribution of subjects were 4 females (33.3%) of CEAP clinical grade C3, 58(70%) males and 4(33.3%) females of clinical grade C4a, 9 (10.2%) males and 2(16.7%) females of clinical grade C4b, 3 (3.4%) males of clinical grade C5, 18 (20.4%) males and 2(16.7%) females of clinical grade C6.The Venous Doppler imaging of the affected limbs of patients showed significant clinical correlation.(p<0.01) Conclusion: Chronic venous insufficiency is an underestimated public health problem. The risk factors found to be associated with development of CVI in the study were age, gender, obesity, pregnancy, family history, occupation involving prolonged orthostasis and smoking. The common clinical manifestations of CVI observed were edema, stasis eczema, lipodermatosclerosis (LDS) and venous ulcers. Venous Doppler Ultrasonography of affected limbs showed that frequency of reflux increased with severity of visible signs of disease.
Authors and Affiliations
Fairuza Abdu Nazir, Asha G. S. , Leelavathy B. , Revathi T. N. , Shilpa K.
Keywords
Related Articles
- EP ID EP300963
- DOI 10.18231/2455-6769.2017.0035
- Views 120
- Downloads 0
Erythema ab igne: A case report
Erythema ab igne is an asymptomatic cutaneous condition characterized by reticular erythematous to violaceous patches on sites of exposure to heat It is a rare condition but its incidence has been rising as heating sourc...
Generalized Dowling Degos disease: A rare genetic disorder
Dowling Degos disease DDD is an uncommon autosomal dominant genodermatosis characterized by acquired flexural hyperpigmentation Clinicohistopathological correlation is diagnostic showing multiple hyperpigmented macules c...
A study of efficacy of platelet rich plasma in treatment of androgenetic alopecia in male patients
Abstract Background: Androgenetic alopecia is a very common clinical condition encountered by the dermatologists in their daily practice. Aims: To study the efficacy of platelet rich plasma in treatment of androgenetic a...
Gigantic idiopathic scrotal calcinosis: A rare case report and review
Idiopathic scrotal calcinosis is a rare skin condition characterized by multiple asymptomatic calcified nodules of unknown aetiopathogenesis It is a benign condition that may be complicated with ulcerations or secondary...
Depression and Anxiety in Melasma: Prevalence and Correlates in North India
Introduction: Melasma affects patient’s psychological and emotional well-being. It has a negative impact on the quality of life of patients. Aims: The aim of the study was to find the prevalence of depression and anxiety...