Patients with venous disease often exhibit dermatological changes. Sometimes these skin changes are the only clue to an appropriate list of differential diagnoses. Venous insufficiency is the most common venous disease which presents with a range of skin changes. Most people are familiar with venous eczema, lipodermatosclerosis and venous ulcers as manifestation of long-term venous insufficiency.
Skin changes are one of the earliest signs of venous hypertension. Some of these changes are common and easily identified whereas other changes such as acroangiodermatitis and pigmented purpuric dermatoses are less common and more difficult to diagnose. Dilation of venous structures is not always due to venous incompetence and could be primary or secondary to systemic disease, or environmental influences such as actinic damage and radiation.
Other vein related and vascular disorders can also present with specific skin signs. Correct identification of these skin changes can aid in making the right diagnosis and an appropriate plan of management.
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Capillaritis and Pigmented Purpuric Dermatoses
Other Vascular Skin Conditions
