Dermatological manifestations of chronic venous insufficiency: A cross-sectional study from a Centre in South India
Journal Title: IP Indian Journal of Clinical and Experimental Dermatology - Year 2017, Vol 3, Issue 4
Abstract
Background: Chronic venous insufficiency (CVI) describes a condition that affects the venous system of the lower extremities with venous hypertension causing various pathologies including pain, edema, skin changes and ulceration. Amongst these, skin changes are one of the earliest signs. In India, it is an underestimated cause of morbidity causing work place absenteeism although exact statistics are unavailable. Objectives: To study the dermatological manifestations of CVI and correlate it with Venous Doppler scan findings. Methods: 100 patients with CVI were selected for the study and a detailed history-taking with clinical examination was conducted. A Venous Doppler scan was performed and the findings were correlated clinically. Results: In our study, the distribution of subjects were 4 females (33.3%) of CEAP clinical grade C3, 58(70%) males and 4(33.3%) females of clinical grade C4a, 9 (10.2%) males and 2(16.7%) females of clinical grade C4b, 3 (3.4%) males of clinical grade C5, 18 (20.4%) males and 2(16.7%) females of clinical grade C6.The Venous Doppler imaging of the affected limbs of patients showed significant clinical correlation.(p<0.01) Conclusion: Chronic venous insufficiency is an underestimated public health problem. The risk factors found to be associated with development of CVI in the study were age, gender, obesity, pregnancy, family history, occupation involving prolonged orthostasis and smoking. The common clinical manifestations of CVI observed were edema, stasis eczema, lipodermatosclerosis (LDS) and venous ulcers. Venous Doppler Ultrasonography of affected limbs showed that frequency of reflux increased with severity of visible signs of disease.
Authors and Affiliations
Fairuza Abdu Nazir, Asha G. S. , Leelavathy B. , Revathi T. N. , Shilpa K.
Keywords
Related Articles
- EP ID EP300963
- DOI 10.18231/2455-6769.2017.0035
- Views 107
- Downloads 0
Quality of Life of Patients with Psoriasis Seeking Care from Out Patient Department (OPD) of a Tertiary Care Centre of South India Assessed by Dermatology Life Quality Index (DLQI) and its Correlation with Psoriasis Area Severity Index (PASI)
Introduction: Psoriasis causes considerable psychosocial disability and has a major impact on patients’ quality of life. A proper assessment of the quality of life may help the doctor to individualize the treatment plan...
Efficacy and safety of 10% topical minoxidil, oral finasteride and microneedling in Male Pattern Baldness
Introduction: There are only few studies with combined treatment for Male Pattern Baldness (MPB) and all of them showed superior efficacy as compared to monotherapies. To the best of our knowledge, no study has been done...
Comparative study of intralesional BCG and PPD in the treatment of multiple cutaneous warts
Introduction Multiple cutaneous warts are often asymptomatic cosmetically disfiguring and difficult to treatnbspwith conventional modalities hence immunotherapeutic modalities can be used in such cases There are no compa...
Clinico-aetiological profile of onychomycosis at a tertiary care centre in northeast India
Onychomycosis OM represents nearly 50 percent of all nail disorders and accounts for about 30 percent of all superficial fungal infections of the skin Often it becomes a nidus for recurrent superficial skin infectionsAim...
Cyclosporine - An eye opener in severe cutaneous adverse drug reactions
Severe cutaneous adverse drug reactions sCADR comprise the lifethreatening Stevens Johnson Syndrome SJS Toxic Epidermal Necrolysis TEN and Drug Reaction with Eosinophilia and Systemic Symptoms DRESSAim The aim of this st...