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Varice reticularI83.91

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

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

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DefinitionThis section has been translated automatically.

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.

EtiopathogenesisThis section has been translated automatically.

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

ManifestationThis section has been translated automatically.

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

LocalizationThis section has been translated automatically.

Mainly thigh and lower leg.

Clinical featuresThis section has been translated automatically.

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.

TherapyThis section has been translated automatically.

  • 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.

LiteratureThis section has been translated automatically.

  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

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer