[Therapy of chronic venous insufficiency--the domain of dermatologic ambulatory care]

By means of a graded test system for external medicaments, we optimized and standardized the local therapy of chronic venous insufficiency (CVI) in our out-patient department: allergological tests; subjective sensitivity tests of ulcus cruris venosum; comparison of ointments with powder in the therapy of ulcus cruris venosum, objective findings, applicability of the dry therapy (Heede); comparison of external drugs containing antimicrobial chemotherapeutics with those not containing these additives in the therapy of ulcus cruris venosum; comparison of ointments containing heparinoid with lipoid-in-water emulsions without admixtures in plebological therapy. We report on the therapeutic standard. Clinically 63,8% of all patients attending our dermatologic out-patient department showed CVI (stages I to IV); 38,7% were graded "venously ill" (stages III and IV). Stage I of CVI is characterized by varicous veius without discomfort. Problems of eczema are both dermatological and phlebological problems. The therapy of CVI, however, is the dermatologist's business.