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Epidemiology of venous stasis ulcers - Buffalo Niagara Vein Treatment Center - and
Monday, September 2, 2013



It has been estimated that the prevalence of venous stasis ulcers in the general population is around 0.3 per cent or 3 patients per 1,000. It has also been borne out in the scientific literature that for every patient with an open venous stasis ulcer, there are 4 patients with healed venous stasis ulcers, giving healed venous stasis ulcers a prevalence of 1.3 per cent or 13 patients per 1,000.


Men versus women - sex is a risk factor for venous stasis ulcers


The prevalence of men with venous stasis ulcers is higher than the prevalence of women with venous stasis ulcers by a factor of 2. Women tend to live longer than men, so this seems to be an equalizing factor when calculating prevalence of a disease in the general population.


Does the prevalence of venous stasis ulcers increase with age ?


The prevalence of venous stasis ulcers increases with age with a peak prevalence between ages 60 and 80. It has been shown that the vast majority of patients have their first ulcer before age 60.









 Gaiter areas where Venous Ulcers Occur










Examination of the patient with venous stasis ulcer(s)






most commonly found on the medial aspect of the leg, the medial malleolus




the ulcer may be near circumferential, encircling or nearly encircling the lower leg




association with corona phlebectasia (ankle flare) - the whole ankle having spider veins, reticular veins and small varicose veins - this may extend into the medial (inside) arch of the foot, dorsum (top) of the foot and lateral ankle and foot (outside ankle)




there may be associated lipodermatosclerosis (hardening of the skin and fatty tissue) with brown back discoloration of the skin




infection of the surrounding tissue (redness and foul smelling drainange) or cellulitis (red streaks that are warm and run up the leg and down into the foot)






For the treatment of venous stasis ulcers with EVLT, VNUS Closure or ClariVein, contact Hratch Karamanoukian, MD FACS at the Vein Treatment Center with offices in Williamsville, New York and Clarence, New York or call 716-839-3638.




Hratch Karamanoukian, MD FACS is triple board certified in general surgery, thoracic surgery (cardiovascular surgery), and phlebology (diseases of the venous system and lymphatic system).
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