Varice reticular I83.91

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Brindilles de balai de bouleau; Hypha-web varicosities; spider vein; Spider veins; Spider veins varices; starburst varices

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Permanently dilated, radially running, finely branched, intradermal, 1.0-3.0 mm wide venules, often arranged in a net or arcade shape around a nerve vein. In the CEAP classification they are listed together with telangiectasias under the clinical classification C1.

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Multifactorial. Discussed are venous congestion in CVI, injuries, irradiation, hormonal disorders, consequences of local hypertension or constitutional vascular wall weakness.

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Preferably occurring in middle-aged women. Pregnancy and overweight promote the appearance.

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Mainly thigh and lower leg.

Clinical features
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Dark blue-red, 1.0-3 mm wide, tortuous varicose cords with irregular, ampulla- or nodular ectasia. Complete anemia is impossible. S.u. Varice and varicosis.

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  • Clarification of CVI and removal of perforator insufficiencies; sclerotherapy of larger spider veins using 0.25% or 0.5% polidocanol injection solution (e.g. aethoxysclerol) with a fine cannula.
  • Smaller reticular or linear spider veins can be tackled by laser therapy(pulsed dye laser, diode laser, argon laser, neodymium YAG laser). S.u. Varicosis.

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  1. Allegra C et al (Union of Phlebology Working Group) (2003) The "C" of CEAP: suggested definitions and refinements: an International Union ofPhlebology
    conference of experts. J Vasc Surg 37:129-131.
  2. Garcia Hidalgo L (2002) Dermatological complications of obesity. At J Clin Dermatol 3: 497-506
  3. Iwamoto S et al (2003) Treatment of varicose veins: an assessment of intraoperative and postoperative compression sclerotherapy. Ann Vasc Surg 17: 290-295
  4. Core P (2002) Sclerotherapy of varicose leg veins. Technique, indications and complications. Int Angiol 21(2 Suppl 1): 40-45
  5. Michiels C (2002) Role of the endothelium and blood stasis in the development of varicose veins. Int Angiol 21(2 Suppl 1): 18-25
  6. Pannier F et al (2010) Cutaneous varicose veins. In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 150 -153


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Last updated on: 29.10.2020