The Subcommittee on Reporting Standards in Venous Disease issued guidelines for reporting chronic venous insufficiency in 1988. This scheme preceded the CEAP classification.
(1) prior clinical symptoms
(2) current clinical symptoms
(3) anatomic location
prior clinical symptoms
current clinical symptoms
combination of (2 to 5)
• The description of anatomic extent may be complex depending on the various combinations.
mild to moderate ankle swelling, mild discomfort (heaviness, pain), local or generalized dilatation of subcutaneous veins; usually limited to involvement of superficial veins
hyperpigmentation of the skin in the gaiter area, moderate brawny edema, subcutaneous fibrosis, without ulceration
chronic distal leg pain, ulcerative or preulcerative skin changes, eczematoid changes, severe edema; usually extensive involvement of the deep venous system
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