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Review Article| Volume 45, ISSUE 1, P45-62, September 2011

Varicose Vein: Current Management

      Chronic venous insufficiency can be found in 15% to 20% of the population. The prevalence goes up to 50% if small telangiectasias are included [
      • Marston W.
      Evaluation of varicose veins: what do the clinical signs and symptoms reveal about the underlying disease and need for intervention.
      ]. Venous ulcers are observed in 2% of patients with chronic venous insufficiency, and the treatments of these ulcers alone carry a significant cost [
      • Wakefield T.
      • Dalsing M.
      Venous disease.
      ]. Several risk factors for the development of varicose veins have been identified, which include age, female gender, multiparity, family history, obesity, and job activities that involve prolonged standing. Obesity seems to be a risk factor only in women but not in men. Exercise activity seems to be protective in men but not in women. In at least one study, however, trunk varices were observed to be more prevalent in men [
      • Marston W.
      Evaluation of varicose veins: what do the clinical signs and symptoms reveal about the underlying disease and need for intervention.
      ].
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