ABSTRACT
This chapter includes recommendations from the European Society for Vascular Surgery, Society for Vascular Surgery, American Venous Forum and the Australian and New Zealand Clinical Practice Guidelines for Prevention and Management of Venous Leg Ulcers. Chronic venous disease literally should include the wide range of cosmetic and symptomatic venous disorders at any site in the body that have a gradual onset and natural history. The most common locations are the lateral thigh and upper one-third of calf. Most receive backflow from feeder reticular veins or directly from incompetent venous tributaries. Corona phlebectatica is a fan-shaped pattern of numerous small intradermal veins on the medial or lateral aspects of the ankle and foot and is associated with underlying venous reflux. Atrophie blanche appears as localized whitish atrophic areas of skin surrounded by dilated capillaries with variable hyperpigmentation and is not to be confused with a healed ulcer scar.
