Pathophysiology of telangiectasias of the lower legs and its therapeutic implication: A systematic review.

Details

Serval ID
serval:BIB_E4FA8954BADF
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Pathophysiology of telangiectasias of the lower legs and its therapeutic implication: A systematic review.
Journal
Phlebology
Author(s)
Kern P.
ISSN
1758-1125 (Electronic)
ISSN-L
0268-3555
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
33
Number
4
Pages
225-233
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Objective Telangiectasias of the lower legs are intradermal dilatations of the subpapillary venous plexus, but their pathophysiology and risk factors are still largely unknown. The purpose of this review is to summarize the current knowledge on the pathophysiology and risk factors for telangiectasias. Methods A systematic review of the literature indexed in Medline completed with textbooks and European phlebology journals from the French, Swiss, and German phlebology societies was performed. Results A multitude of risk factors and several pathophysiological hypotheses, such as reflux, arterio-venous micro-shunts, parietal, and connective tissue abnormalities, are described in the literature. The different hypotheses are discussed and put in a clinical perspective, in particular their therapeutic implications for phlebologists. Conclusion In conclusion, pathophysiology and risk factors of telangiectasias are still largely unknown, and a better understanding could improve treatment results and reduce recurrence.
Keywords
Leg telangiectasias, epidemiology, pathology/histology, physiology, sclerotherapy
Pubmed
Web of science
Create date
08/02/2018 19:39
Last modification date
20/08/2019 16:08
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