ABSTRACT
Venous insufficiency manifests itself in different ways. Its appearance varies from simple telangiectatic blemishes to severe chronic leg ulcer in an edematous, pigmented leg. Symptoms also vary from the essentially asymptomatic limb to that with disabling postexercise pain. Manifestations of venous insufficiency also vary and include those conditions-such as telangiectasias, varicose veins, and axial incompetence-that are usually well treated. In contrast, severe chronic venous insufficiency may be refractory to treatment. For example, the severely damaged postthrombotic limb manifests segmental occlusion in combination with universal reflux.
