Phlebolymphology N°116

Prevalence of neuropathic pain in patients with venous disease in the Guatemalan population

ABSTRACT Chronic venous disease changes the hemodynamics of venous return, causing intraluminal hydrostatic hypertension and congestion. All of this triggers inflammation, tissue damage, and possible nerve damage due to low oxygen levels. Prevalence of neuropathy was identified in patients with chronic venous insufficiency. In a transversal descriptive study, a nonprobability sample of 370 adult patients with chronic venous insufficiency classified as CEAP 3 to 6 (according to clinical, etiological, anatomical, pathophysiological classification) were evaluated in 4 clinics in Guatemala City where they were assessed for neuropathy via the DN4 scale (douleur neuropathique questionnaire). The prevalence of neuropathy in patients with…

Full text

Management of special cases in chronic venous disease: what do I do?

Rebeca Reachi, MD Vascular Surgeon Staff; Hospital Beneficencia Española A.C. San Luis Potosí, Mexico ABSTRACT Chronic venous disease is one of the most frequent consultations in our daily practice, so we must consider the management of complications and special cases that are more frequent than expected. If as physicians we seek to improve patients’ quality of life, we need multidisciplinary management to achieve this goal. Introduction If we understand the etiology, natural history, and evolution of venous disease, we know that genetics, age, female sex, obesity, pregnancy, prolonged periods of standing, and greater height are factors that contribute to the…

Full text

Combination of transdermal laser and sclerotherapy in treating reticular veins: an evidence-based approach to modern phlebology

Anelise Rodrigues, MD Clinica Dra Anelise Rodrigues, Cuiaba, MT, Brazil ABSTRACT Chronic venous disease is a widespread condition, with telangiectasias and reticular veins (C1 disease according to the CEAP classification) among its most frequent and cosmetically concerning early manifestations. Whereas sclerotherapy remains the gold standard for their treatment, newer approaches have emerged aiming to optimize results and reduce complications. Among them, the combination of transdermal long-pulsed 1064-nm Nd:YAG laser with sclerotherapy has gained growing attention, particularly in the form of the cryo-laser cryo-sclerotherapy (CLaCS) technique, which merges laser-induced vessel damage with sclerotherapy, enhanced by cryo-cooling and augmented reality guidance. Additionally,…

Full text

Atrophie blanche: a diagnostic and therapeutic challenge

Elena Conde Montero, MD, PhD Dermatology Department, Hospital Universitario Infanta Leonor y Virgen de la Torre, Madrid, Spain Alejandro Vivero, MD Wound Clinic, Santo Cuore, Córdoba, Argentina ABSTRACT Atrophie blanche (AB) is a distinctive dermatological finding characterized by stellate, porcelain-white, atrophic plaques, commonly located on the lower extremities. Although traditionally regarded as a permanent sequela of chronic venous insufficiency (CVI), AB may also arise from diverse etiologies including livedoid vasculopathy, vasculitis, and medicationinduced vascular damage. This review aims to clarify the clinical significance of AB, emphasizing the importance of accurate diagnosis and etiology-based management. AB is not a diagnosis itself…

Full text

Role of compression therapy in lipedema

Isabel Forner-Cordero, MD, PhD, Associate Professor Lymphedema Unit, Rehabilitation Department, Hospital Universitari i Politècnic La Fe, University of Valencia, Valencia, Spain Juan Vazquez-Diez, MD Lymphedema Unit, Rehabilitation Department, Hospital General Universitari de Castelló, Castellón de La Plana, Spain ABSTRACT Lipedema is a very frequent chronic disease, frequently underdiagnosed and misdiagnosed and whose pathophysiology is still under research. Patients, most of them women, present with evident disproportion in the distribution of fat between the upper and lower part of the body, swelling, easy bruising, and pain in the lower limbs, and sometimes in the upper limbs. The major aims of its…

Full text

Phlebolymphology N°116 – Editorial

Dear Readers, In this new issue of Phlebolymphology, you will find the articles as below: I. FORNER-CORDERO and J. VAZQUEZ-DIEZ (Spain) review the role of compression therapy in lipedema, a very frequent chronic disease that mostly affects women and is frequently underdiagnosed and misdiagnosed, and whose pathophysiology is still under research. Clinical guidelines and consensus documents state that compression therapy should be part of the conservative treatment for lipedema and that patients with lipedema should receive compression garments as part of their treatment. E. CONDE MONTERO (Spain) and A. VIVERO (Argentina) review atrophie blanche, a distinctive dermatological finding characterized by…

Full text

Phlebolymphology N°116 (Vol 32 – N°1- 2025)

Editorial PHLEBOLOGY Role of compression therapy in lipedema Isabel FORNER-CORDERO and Juan VAZQUEZ-DIEZ (Spain) Phlebolymphology – 2025 ; 32 (1): 4 Atrophie blanche: a diagnostic and therapeutic challenge Elena CONDE MONTERO (Spain) and Alejandro VIVERO (Argentina) Phlebolymphology – 2025 ; 32 (1): 13 Combination of transdermal laser and sclerotherapy in treating reticular veins: an evidence-based approach to modern phlebology Anelise RODRIGUES (Brazil) Phlebolymphology – 2025 ; 32 (1): 21 Management of special cases in chronic venous disease: what do I do? Rebeca REACHI (Mexico) Phlebolymphology – 2025 ; 32 (1): 28 Prevalence of neuropathic pain in patients with venous disease…

Full text