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vascular general-medicine

CEAP Classification — Chronic Venous Disease

Clinical class (C0–C6) of the CEAP system (Eklöf et al. 2004, revised 2020). Aetiology / Anatomy / Pathophysiology assessed separately. Drives compression, ablation, and ulcer-care decisions.

Score interpretation

C0–C1 — No / minor cosmetic disease 0–1

→ Reassure. Consider sclerotherapy or laser only for cosmetic concern. Lifestyle (weight, exercise, leg elevation).

C2–C3 — Varicose veins ± oedema 2–3

→ Duplex US to map venous reflux. If symptomatic and reflux confirmed, NICE CG168 endothermal ablation > foam sclerotherapy > stripping. Compression while awaiting.

C4–C6 — Skin changes / ulceration 4–6

→ Urgent vascular referral. Duplex; ABPI before compression. Multilayer compression (40 mmHg) for active ulcer (C6); endothermal ablation of incompetent veins per NICE CG168 to reduce recurrence. Wound care, infection control.

Interpretation bands for the CEAP. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.