) and recanalisation, and may also develop due to primary valvular incompetence without previous episode(s) of DVT. The term 'CVI' is usually reserved for more advanced disease involving oedema, skin changes, or frank ulcers.History and examKey diagnostic factorspresence of risk factorscorona phlebectatica (malleolar flare or ankleflare)ankle swellinghyperpigmentation (brawny oedema)More key diagnostic factorsOther
phlebectatica This fan-shaped pattern of numerous small interdermal veins on medial or lateral aspects of the ankle or foot is commonly thought to be an early sign of advanced venous disease. Synonyms include malleolar flare or ankleflare. “The corona phlebectatica (CP) is classically described as the presence of abnormally visible cutaneous blood vessels at the ankle with four components: venous cups, blue
of capillaries, they break down and release the pigment hemosiderin. This results in grey-brown pigmentation of the skin in the gaiter area.30 Corona phlebectaticaThis fan-shaped pattern of numerous small interdermal veins on medial or lateral aspects of ankle or foot is commonly thought to be an early sign of advanced venous disease. Synonyms include malleolar flare, or ankleflare. “The corona phlebectatica
■ Expectations of treatment■ Weight/body mass index.ASSESSMENTLeg assessmentThe limb assessment should include clinical examination of the limb, and assessment of arterial status:Examination of the limb• Signs of venous insufficiency (e.g. oedema, ankleflare, hyperpigmentation, lipodermatosclerosis, atrophie blanche, varicose eczema)• Presence and distribution of oedema; oedema likely to become non
) and recanalisation and may also develop due to primary valvular incompetence without previous episode(s) of DVT. The term 'CVI' is usually reserved for more advanced disease involving oedema, skin changes, or frank ulcers.History and examKey diagnostic factors * presence of risk factors * corona phlebectatica (malleolar flare or ankleflare) * ankle swelling * hyperpigmentation (brawny oedema
and haemorrhage. Venous dilatationinframalleolar ankleflare or corona phlebectatica is the most common initial manifestation of venous disease (ceAP class 1). isolated calf varicosities are commonly noted with prolonged standing or during menses. With progression of venous disease, the veins become more tortuous and distended, and patients may note their appearance in the proximal portion of the limb. many