Varice reticular I83.91

Permanently dilated, radially running, finely branched, intradermal, 1.0-3.0 mm wide venules, often arranged in a net or arcade shape around a nerve vein. In the CEAP classification they are listed together with telangiectasias under the clinical classification C1.

Multifactorial. Discussed are venous congestion in CVI, injuries, irradiation, hormonal disorders, consequences of local hypertension or constitutional vascular wall weakness.

Dark blue-red, 1.0-3 mm wide, tortuous varicose cords with irregular, ampulla- or nodular ectasia. Complete anemia is impossible. S.u. Varice and varicosis.

• Clarification of CVI and removal of perforator insufficiencies; sclerotherapy of larger spider veins using 0.25% or 0.5% polidocanol injection solution (e.g. aethoxysclerol) with a fine cannula.
• Smaller reticular or linear spider veins can be tackled by laser therapy(pulsed dye laser, diode laser, argon laser, neodymium YAG laser). S.u. Varicosis.

1. Allegra C et al (Union of Phlebology Working Group) (2003) The "C" of CEAP: suggested definitions and refinements: an International Union ofPhlebology
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3. Iwamoto S et al (2003) Treatment of varicose veins: an assessment of intraoperative and postoperative compression sclerotherapy. Ann Vasc Surg 17: 290-295
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