C Class: Clinical Manifestation |
C0: No visible or palpable signs of venous disease |
C1: Telangiectasias or reticular veins |
C2: Varicose veins, distinguished from reticular veins by a diameter ≥ 3 mm |
C3: Edema |
C4: Changes in skin and subcutaneous tissue |
C4a: Pigmentation or eczema |
C4b: Lipodermatosclerosis or atrophie blanche |
C5: Healed venous ulcer |
C6: Active venous ulcer |
Note: Further subdivided with subscript S (symptomatic) or A (asymptomatic) |
E Class: Etiologic Factors |
Ec: Congenital |
Ep: Primary |
Es: Secondary (post-thrombotic) |
En: No venous cause identified |
A Class: Anatomic Distribution |
As: Superficial veins |
Ap: Perforator veins |
Ad: Deep veins |
An: No venous location identified |
P Class: Pathophysiology |
Pr: Reflux |
Po: Obstruction |
Pr,o: Reflux and obstruction |
Pn: No venous pathophysiology identifiable |