Contents
Venulectasias are dilated intradermal veins with a bluish color> 0,4 mm in diameter <1 mm = "" located = "" = "" on = "" depth = "" to = "" 0,6 = ""> 1>
What is the cause of venulectasia?
The visualization of the dilatation of small intradermal veins is the result of the transmission of high venous blood pressure from ineffective network, muscular and superficial veins, and rarely from deep veins.
How do venulectasia manifest?
The lesions are located on the thighs and shins, the outer surfaces of the limbs are usually preferred. Moreover, they can attack the face, rarely the bust, abdomen and arms. In the course of the disease, dilated intradermal vessels in the shape of a star, a brush or a twig are visible. They often cause unpleasant pain at different times of the day. It is worth mentioning that venulectasia may adversely affect the patient’s psyche due to the unsightly appearance of the skin.
Venulectasia – how to treat them?
The most effective treatment for venulectasia is the 1064 nm Nd: YAG laser. The effectiveness of this type of therapy is 75% disappearance of changes within 3 months. This effect occurs in as many as 88% of patients undergoing treatment. The efficiency of the diode laser with the wavelength of 810 nm is 29% and the alexandrite laser 33%. You can exercise as well sclerotherapy. However, you should use low concentrations of sclerosant, small amounts injected into one place, and in the case of foam, the concentration of sclerosing agent should be half the concentration used in the form of a liquid.
The disease should be differentiated from telangiectasias.
Can venulectasia be prevented?
In preventing the disease, it is important to:
- wearing prophylactic products with gradual compression,
- avoiding long sitting and standing,
- avoiding taking birth control pills,
- avoiding hydro massages,
- avoiding swimming.
DIG. W-1. Venulectasia.
DIG. W-2. Venulectasia.
Lit.: [1] Ramelet A.A., Monti A.: Phlebology. The guide. Elsevier 1999. [2] Bergan J.J.: The vein book. Elsevier 2007.
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House