Modern approach to the treatment of skin disorders associated with venous insufficiency
Petrov K.S., Nemirova S.V., Petrova G.A., Smirnova D.V., Islamov R.A.

Nizhny Novgorod State Medical Academy

Chronic venous insufficiency (CVI) is one of the most common vascular diseases and observed in 60-77% of adult population. An integral part of CVI and first complaint in patients with this disease are skin symptoms, that form the basis of modern classification CEAP. According to CEAP trophic disorders include hyperpigmentation, venous eczema, lipodermatosclerosis, white skin atrophy, open and healed venous ulcers. These symptoms, along with pronounced polymorphism of CVI clinical picture and absence of visible changes of varicose saphenous veins, make the patient visit a dermatologist. The paper addresses diagnosis and management of trophic disorders in patients with CVI. Special attention is paid to secondary skin infection, the most common infectious agents are identified. Authors describe own experience in treating patients with CVI and secondary skin infection. Complex treatment include antibacterial drug - macrolide roxithromycin (Esparoxy), oral drug for outpatient treatment, associated with good treatment adherence.

Key words: chronic venous insufficiency, eczema, antibiotics, roxithromycin.

For citation: Petrov K.S., Nemirova S.V., Petrova G.A. et al. Modern approach to the treatment of skin disorders associated with venous insufficiency // RMJ. 2016. № 14. P. 949–952.