Table 1.
Clinical classification (C)a | |
C0 | No visible sign of venous disease |
C1 | Telangiectases or reticular veins |
C2 | Varicose veins |
C3 | Edema |
C4 | Changes in skin and subcutaneous tissueb |
(A) Pigmentation or eczema | |
(B) Lipodermatosclerosis or atrophie blanche | |
C5 | Healed ulcer |
C6 | Active ulcer |
Etiologic classification (E) | |
Ec | Congenital (e.g., Klippel-Trenaunay syndrome) |
Ep | Primary |
Es | Secondary (e.g., postthrombotic syndrome, trauma) |
En | No venous cause identified |
Anatomic classification (A) | |
As | Superficial |
Ad | Deep |
Ap | Perforator |
An | No venous location identified |
Pathophysiologic classification (P) | |
Pr | Reflux |
Po | Obstruction, thrombosis |
Pr,o | Reflux and obstruction |
Pn | No venous pathophysiology identified |
CEAP, clinical, etiologic, anatomic, pathophysiological.
The descriptor A (asymptomatic) or S (symptomatic) is placed after the C clinical class.
C4 is subdivided into A and B, with B indicating higher severity of disease and having a higher risk for ulcer development.