Summary of findings
I examined the legs of a 50-year-old market woman, standing. There are tortuous, dilated veins along the medial aspect of the right leg and thigh in the distribution of the great saphenous vein, with corona phlebectatica at the ankle. There is brown pigmentation and eczema in the gaiter area with induration of the lower leg (lipodermatosclerosis), but no ulcer. There is no saphena varix, but there is a palpable cough impulse and a positive tap test at the saphenofemoral junction. On the tourniquet test the varicosities stay empty with the tourniquet at the upper thigh and fill rapidly when it is released, indicating saphenofemoral junction incompetence. Handheld Doppler confirms reflux at the junction. Peripheral pulses are all palpable. The left leg and abdomen are normal. These findings are in keeping with primary right great saphenous varicose veins with skin changes — CEAP C4b.
CEAP clinical classification
| Class | Description |
|---|---|
| C0 | No visible signs |
| C1 | Thread (telangiectasias) or reticular veins |
| C2 | Varicose veins (3 mm or more) |
| C3 | Oedema |
| C4a | Pigmentation or eczema |
| C4b | Lipodermatosclerosis or atrophie blanche |
| C4c | Corona phlebectatica |
| C5 | Healed venous ulcer |
| C6 | Active venous ulcer |
The full CEAP adds Etiology (primary, secondary, congenital), Anatomy (superficial, deep, perforator) and Pathophysiology (reflux, obstruction).
Differential diagnoses
| Picture | Consider |
|---|---|
| Groin swelling that disappears on lying | Saphena varix (thrill on coughing) versus femoral hernia |
| Varicose veins with a swollen leg and previous DVT | Post-thrombotic syndrome (secondary varicose veins) |
| Unilateral varicosities in a young person with a birthmark and limb hypertrophy | Klippel–Trénaunay syndrome — avoid stripping the superficial veins |
| Varicosities of the vulva or back of the thigh in women | Pelvic venous reflux (ovarian vein incompetence) |
| Varicosities with a pelvic or abdominal mass | Compression — pregnancy, fibroids, tumour |
Investigations
- Venous duplex ultrasound — the standard: site and extent of reflux, deep venous patency, perforators
- ABPI before compression
- Pelvic ultrasound or CT venography for suspected pelvic or iliac vein problems
- Bloods only as indicated (thrombophilia screen in unexplained DVT)
Treatment
See Varicose veins with venous ulcer.
Examiner questions
References
- O'Connell PR, McCaskie AW, Sayers RD, eds. Bailey & Love's Short Practice of Surgery. 28th ed. Boca Raton: CRC Press; 2023.
- National Institute for Health and Care Excellence. Varicose veins: diagnosis and management (CG168). London: NICE; 2013.