MANUEL
RF
3.6.1. Prevalence
It is difficult to broach the subject of varicosities without referring to their prevalence. They
are an extremely frequent reason for consultation.
Between January and September 1995, Professor CATTALINA, a specialist in occupational
medicine, and SOFRES medical, studied 1,823 women working in four health sectors;
operating theatres, laundries, crèches and secretariats. An analysis of the results showed that
the time spent in the job was the leading factor affecting the seriousness of the ailment. Then,
in decreasing order, the number of pregnancies and obesity. A high temperature in the
workplace and carrying heavy weights seem to be aggravating factors for venous ailments.
Heredity does not seem to affect the severity of the problem. Do the genes play a role in the
expression of the ailment? Finally, 68% of women working in the operating theatre had
varicosities compared with 51 to 54% in the other sectors.
The SUVIMAX study in 1999: 3,065 persons who were monitored for a period of four years
showed that 33% of women were diagnosed with chronic venous insufficiency and 28%
declared that they had symptoms indicating venous insufficiency without a medical diagnosis.
The NIH study in the United States of 600 employees at the University of South California
found that varicosities affect 67% of the total population, and varicose veins 25%. Varicosities,
which increase with age, vary between the sexes (women 83% - men 51%) and according to
racial group: higher frequency amongst Caucasians and lower amongst Blacks. Varicose veins
are twice as frequent in women as in men, with no ethnic difference. Venous pathologies affect
half of the adult population and 3/4 of the elderly, particularly women.
A survey conducted by the MEDIA Institute showed that 70% of first consultations in a
phlebology practice were because of varicosities.
An INSEE study in 1996 stated that 71% of menopausal patients had varicosities.
3.6.2. Etiology
Even though the physiopathology remains partially hypothetical, we can identify four main
types:
Red varicosities
They merge into marks or zones.
They are fine and superficial.
Date 27/03/2014
THERMOCOAGULATION – Viridex
Page 24 de 49
N° de révision : 05