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[Varices, a true disease?].

A Da Silva, L K Widmer, L Biland

    Phlebologie
    |October 1, 1987
    PubMed
    Summary
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    Varices of the lower limbs are often underestimated. A classification distinguishing "disorder" from "disease" based on clinical severity shows "disease" has more long-term negative effects.

    Area of Science:

    • Vascular Medicine
    • Phlebology
    • Medical Classification

    Context:

    • Inconsistent definitions and classifications of lower limb varices hinder accurate prevalence and significance assessment.
    • Existing studies show discrepancies due to a lack of standardized criteria for varices.
    • The Basle study aimed to address these discrepancies by introducing a new classification system.

    Purpose:

    • To establish a clear classification for lower limb varices based on clinical severity.
    • To differentiate between varices as a 'disorder' versus a 'disease'.
    • To analyze the long-term socio-medical after-effects associated with different classifications of varices.

    Summary:

    • A classification system categorizes lower limb varices into 'disorder' and 'disease' based on clinical presentation.

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  • The 'disease' group exhibits distinct complications and risk factors compared to the 'disorder' group.
  • Long-term follow-up over 11 years revealed significantly more socio-medical after-effects in the 'disease' group.

    • Impact:

    • Pronounced lower limb varices should be recognized as a significant medical condition ('disease').
    • This classification aids in understanding the true burden and long-term impact of varices.
    • Highlights the need for appropriate medical attention and management for patients with severe varices.