[Ultrasound diagnostic techniques in dermatologic angiology and phlebology]

Area of Science:

• Vascular Medicine
• Diagnostic Imaging
• Dermatology

Background:

• High-resolution ultrasonography (7.5-20 MHz) has significantly advanced diagnostic capabilities over the past two decades.
• Over 15,000 examinations inform the presented diagnostic examples.

Purpose of the Study:

• To showcase representative examples of ultrasound diagnosis in vascular and dermatologic conditions.
• To highlight the essential role of ultrasonography in interdisciplinary treatment and patient management.

Main Methods:

• Utilized high-resolution ultrasonography (7.5-20 MHz) for diagnostic evaluations.
• Analyzed experience from over 15,000 patient examinations.
• Categorized causes of peripheral venous disease based on sonographic findings.

Main Results:

• Peripheral arterial disease detected in 30% of older patients with venous diseases.
• Identified peripheral emboli and vasculitis as causes of widespread skin disease.
• Established four sonographic categories for peripheral venous disease: venous insufficiency, thrombotic occlusion, venous compression syndrome, and arteriovenous-lymphatic malformations.

Conclusions:

• Ultrasonography is indispensable for diagnosing peripheral arterial and venous diseases, vasculitis, lymphedema, and soft tissue conditions.
• Essential for planning dermatologic oncology therapies and follow-up care.
• Proficiency in ultrasonography is a core requirement for modern dermatologic diagnosis and treatment.