Sometimes the walls of the arteries become weak mostly due to high blood pressure and may
expand to form a dilated part in the artery called an aneurysm. Common sites include the chest,
abdomen and the blood vessels of brain. An aneurysm might cause no symptoms, or might
rupture and become fatal in 50% of ruptured abdominal aneurysms.
In certain disorders, the body produces factors that attack its own blood vessels and cause
inflammation. These diseases are called the autoimmune disorders of blood vessels and occur
in rheumatoid arthritis, systemic lupus erythematous and polyarteritis nodosa.
Some disorders of blood vessels in the skin might exist since birth. These include a capillary
hemangioma which appears as raised red swelling anywhere on the body, mostly on the head
or neck, and regresses with age. Other vascular birthmarks include salmon patch which
disappears within a year after birth and port wine stain which is associated with several
syndromes.
What happens when Veins are affected?
Venous disorders of blood vessels include varicose veins which are tortuous dilated veins of the
skin affecting 5% of adult population most commonly the legs. The veins become dilated either
because of the backflow of blood in the veins due to incompetent valves or secondary to an
obstruction impeding the normal venous blood flow.
Symptoms of Varicose Veins
It commonly presents with pain in the legs at the end of the day or after prolonged standing.
Other symptoms include itching, swelling of the leg or ulcers.
How is Varicose Veins Diagnosed?
A standard Doppler examination or a Duplex venous scan can easily visualize the blood flow
within the veins or if any clot/ thrombus are obstructing the blood flow. Sometimes a venography
might be done which allows detailed mapping of the veins and is an extremely useful test for
patients with recurrent varicose veins or those with complex anatomy.
What should you do if you have Varicose Veins?
Patients of varicose veins are advised to wear compression stockings, elevate their legs and
avoid standing for long hours, sometimes even requiring a change in occupation.
What is the treatment for Varicose Veins?
It can be treated by injecting a detergent chemical (sodium tetradecyl sulphate) in the wall of the
vein either directly or mixed with air to form foam to destroy the vein. Surgically, the affected
vein maybe tied at a high point in the leg and the rest stripped off. Newer techniques of
endovascular laser and radiofrequency ablation to destroy vein are less invasive and preferred.
What are some other Venous disorders of blood vessels?
Other venous disorders of the blood vessels include formation of a clot- Deep Vein Thrombosis
which causes pain, swelling and eventual discoloration of the leg. The clot maybe dissolved by
medications or removed by surgery.
-Fatima Sajid