Clinical presentation includes increasing leg pain, fatigue, and heaviness with prolonged standing, associated with dilated tortuous veins.
More severe cases exhibit progressive skin changes, venous stasis dermatitis, lipodermatosclerosis, and frank ulceration.
Underlying venous insufficiency is most efficiently documented, localized, and graded by duplex ultrasound.
Conservative treatment requires graded compression.
Open surgical or endovenous treatment options may be used in highly selected cases.
Venous ulceration and bleeding are recognized complications.
Serial images of severe CVI (C6) and chronic ulceration of the right lower extremity
From the collection of Dr Joseph L. Mills
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