Subject: Clinical medicine
Year: 2024
Type: Article
Type: PeerReviewed
Title: Treatment of varicose veins with sclerotherapy: a case report
Author: Gjorgjievska Kamceva, Martina
Author: Gazepov, Strahil
Author: Nikolov, Sasko
Author: Dokuzova, Stojka
Author: Emurlai, Arben
Abstract: Varicose veins are visible venous blood vessels, excessively or permanently elongated, dilated or twisted, caused by the long-term influence of blood pressure inside them. The places where the dilations can occur are: the superficial, communicating and deep venous systems, but also the capillary blood vessels in the skin and mucous membranes. Different classifications are used to describe and classify the different types of varicose veins and smaller blood vessels that can be seen under the surface of the skin of the legs, the most commonly used is the following: telangiectasias (they look like spider webs), with a diameter of 0.1-2 mm, venulectasias - veins 2-3 mm wide, reticular veins - veins 3-4 mm wide, varicose veins - veins wider than 4 mm, transfascial varicosities - occur due to weakness of the communicating veins, intrafascial varicosities - occur due to weakness of the deep veins. The prevalence of varicose veins in industrialized countries is very high. An 86 year-old patient, a pensioner, comes for examination due to swelling in the right foot area, the skin is smooth and shiny, the changes are from a month ago as well as changes in the shape and structure of the toenails, complains of pain in the right leg regardless of physical activity that persists for more than a year. The patient has been on insulin therapy for DM for the last few years and previously had been on tablet therapy for 20 years. The patient underwent peripheral Doppler of the lower extremities to gain insight into the venous system. In addition to compressive therapy and oral venotonics, the patient was recommended for sclerotherapy of the VSM and VSP. One week after the second intervention, the patient reported that he no longer had pain in the right limb and that walking was therefore easier.
Publisher: Faculty of Medical Sciences, University of Tetova
Relation: https://eprints.ugd.edu.mk/38313/
Identifier: oai:eprints.ugd.edu.mk:38313
Identifier: https://eprints.ugd.edu.mk/38313/1/Acta%20Medica%20Balkanica%202025-226-229.pdfIdentifier: Gjorgjievska Kamceva, Martina and Gazepov, Strahil and Nikolov, Sasko and Dokuzova, Stojka and Emurlai, Arben (2024) Treatment of varicose veins with sclerotherapy: a case report. Acta Medica Balkanica International Journal of Medical Science, 10 (19-20). pp. 226-229. ISSN 2545-4870
