Table 1.
Stage I—quiescence | Pink-bluish stain, warmth, arteriovenous shunting on Doppler |
Stage II—expansion | Stage I plus enlargement, pulsations, thrill, bruit and tortuous/tense veins |
Stage III—destruction | Stage II plus dystrophic skin changes, ulceration, bleeding, tissue necrosis. Lytic bone lesions may occur. |
Stage IV—decompensation | Stage III plus congestive cardiac failure with increased cardiac output and left ventricle hypertrophy |