classification of venous ulcers
Last reviewed 01/2018
classification of venous ulcers
The American Venous Forum has developed a system known as the CEAP classification where venous ulceration is classified according to the clinical findings, aetiology, anatomical distribution, and pathophysiological dysfunction.
- clinical classification - based on objective clinical signs of chronic venous disease (C0-6) and urther differentiated according to whether the patient is asymptomatic (A) or symptomatic (S).
- C0 - no visible or palpable signs of venous disease
- C1 - telangiectases or reticular veins
- C2 - varicose veins
- C3 - oedema
- C4 - skin changes such as lipodermatosclerosis
- C5 - healed ulceration
- C6 - active ulceration
- aetiological classification
- E
C- congenital - E
P- primary - E
S- secondary
- anatomical classification - the anatomical extent of venous disease
- A
S- in the superficial vein - A
D- deep vein - A
P- perforating veins
- pathophysiological classification
- P
R- reflux - P
O- obstruction - P
R,O- both
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