S = Symptomatic, including ache, pain, tightness, skin irritation, heaviness, and
muscle cramps, and other complaints attributable to venous dysfunction
A = Asymptomatic
CEAP classification of chronic venous disease | Clinical classification |
---|---|
C0 | No visible or palpable signs of venous disease |
C1 | Telangiectasies or reticular veins |
C2 | Varicose veins |
C3 | Edema |
C4a | Pigmentation or eczema |
C4b | Lipodermatosclerosis or athrophie blanche |
C5 | Healed venous ulcer |
C6 | Active venous ulcer |
Etiological classification | Anatomical classification | Pathophysiology |
Ec: congenital | As: superficial veins | Pr: reflux |
Ep: primary | Ap: perforating veins | Po: obstruction |
Es: secondary | Ad: deep veins | Pr,o: reflux and obstruction |
En: no venous cause identified | An: no venous location identified | Pn: no venous pathophysiology identifiable |
Designed to be a document that would evolve over time CEAP underwent its first official review and revision by an international panel under the auspices of the American Venous Forum in 2004.2 The revised document retains the basic CEAP categories, but improves the underlying details. Furthermore, to encourage wider usage among clinicians, an abbreviated version or "basic CEAP" was adopted as an alternative to the comprehensive CEAP.3
To help doctors get familiar and use the CEAP classification, Prof. Jean-François Uhl and SIGVARIS are providing an educational CD: "The CEAP game" (Available in English and French).
1 Porter JM, Moneta GL. Reporting standards in venous disease: an update. International Consensu Committee on Chronic Venous Disease. J Vasc Surg 1995;21:635-45
2 Eklof B, Rutherford RB, Bergan JJ, Carpentier PH, Glovicski P, Kistner RL, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Sur 2004;40:1248-52
3 Meissner et al. Primary chronic venous disorders. J Vasc Surg 2007;46:54S-67S