VENOTONICS PLAY A SIGNIFICANT ROLE IN REDUCING THE SYMPTOMS OF VARICOSE VEINS: A CASE REPORT
Arben EMURLAI, Andrej PETROV, Martina GJORGJIEVSKA KAMCEVA
Abstract
Postthrombotic or postthrombophlebitic syndrome is a chronic venous insufficiency that occurs after an episode of thrombosis of the veins of the deep venous system. The terminal phase of HVI is manifested by the appearance of wounds on the legs, the localization of which is the lower leg. The prevalence of HVI largely depends on the geographical localization. The highest incidence is in Western countries. A 50-year-old patient comes for examination due to swelling in the area of both lower legs, which was more intense when standing or sitting. Visible livid discoloration in places on the foot and around the ankle joints. Feeling of warmth in the legs, cramps. She is a textile worker by profession (who spends 8 hours in a sitting position). From past illnesses, she gives information about diabetes mellitus type 2 and has been on insulin therapy for 15 years with regulated glycaemia, very rarely has oscillations in it. From family history - her father had varicose veins. A local venotonic, an oral venotonic, and elastic compression stockings were given. At the first check-up after 3 weeks, the patient had a significant improvement in her symptoms, and after 3 months of use, the changes were completely regressed.
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