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
→ Reassure. Consider sclerotherapy or laser only for cosmetic concern. Lifestyle (weight, exercise, leg elevation).
→ Symptomatic varicose veins: refer to a vascular service (NICE CG168); duplex ultrasound to confirm truncal reflux; endothermal ablation, then foam sclerotherapy, then surgery. Compression hosiery only if interventional treatment is unsuitable.
→ Refer to a vascular service (NICE CG168; bleeding varicose veins immediately). Duplex; ABPI before compression. Multilayer compression (40 mmHg) for active ulcer (C6); endothermal ablation of incompetent veins 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.
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Omalizumab (Dermatology — Chronic Urticaria) · Anti-IgE Monoclonal Antibody
- Acetazolamide (Ménière's Disease) · Carbonic Anhydrase Inhibitor (Diuretic)
- Zinc acetate · Zinc salt (Wilson's disease)
- Fentanyl Transdermal Patch (Elderly Chronic Pain) · Opioid Analgesic — Transdermal Patch
- Morphine Slow-Release (Elderly Chronic Pain) · Opioid Analgesic — Modified-Release Oral
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.