Varicose veins natural history, complications and prognosis: Difference between revisions
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Most varicose veins are relatively benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb. | Most varicose veins are relatively benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb. | ||
* Pain, heaviness, inability to walk or stand for long hours thus hindering work | * Pain, heaviness, inability to walk or stand for long hours thus hindering work | ||
* Skin conditions / [[ | * Skin conditions / [[dermatitis]] which could predispose skin loss | ||
* Bleeding : life threatening bleed from injury to the varicose vein | * Bleeding : life threatening bleed from injury to the varicose vein | ||
* [[Ulcer]] : non healing varicose ulcer could threaten limb amputation. | * [[Ulcer]] : non healing varicose ulcer could threaten limb amputation. | ||
* Development of carcinoma or sarcoma in longstanding venous ulcers. There have been over 100 reported cases of malignant transformation and the rate is reported as 0.4% to 1%.<ref>Goldman M. Sclerotherapy, Treatment of Varicose and Telangiectatic Leg Veins. Hardcover Text, 2nd Ed, 1995</ref> | * Development of carcinoma or sarcoma in longstanding venous ulcers. There have been over 100 reported cases of malignant transformation and the rate is reported as 0.4% to 1%.<ref>Goldman M. Sclerotherapy, Treatment of Varicose and Telangiectatic Leg Veins. Hardcover Text, 2nd Ed, 1995</ref> | ||
* Coagulation of blood in varicose veins cause superficial thrombosis, [[deep vein thrombosis|deep vein thrombosis (DVT)]], [[ | * Coagulation of blood in varicose veins cause superficial thrombosis, [[deep vein thrombosis|deep vein thrombosis (DVT)]], [[pulmonary embolism]] (PE) & could precipitate [[stroke]] in the rare case of predisposed individuals (that is, patients with [[patent foramen ovale]]). | ||
==References== | ==References== | ||
Revision as of 15:19, 30 April 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Serious complications are rare but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.
Complications
Most varicose veins are relatively benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb.
- Pain, heaviness, inability to walk or stand for long hours thus hindering work
- Skin conditions / dermatitis which could predispose skin loss
- Bleeding : life threatening bleed from injury to the varicose vein
- Ulcer : non healing varicose ulcer could threaten limb amputation.
- Development of carcinoma or sarcoma in longstanding venous ulcers. There have been over 100 reported cases of malignant transformation and the rate is reported as 0.4% to 1%.[1]
- Coagulation of blood in varicose veins cause superficial thrombosis, deep vein thrombosis (DVT), pulmonary embolism (PE) & could precipitate stroke in the rare case of predisposed individuals (that is, patients with patent foramen ovale).
References
- ↑ Goldman M. Sclerotherapy, Treatment of Varicose and Telangiectatic Leg Veins. Hardcover Text, 2nd Ed, 1995