In CEAP classification of chronic venous disorders, a patient with healed venous ulceration (no active ulcer) with skin changes (lipodermatosclerosis and pigmentation) is classified as:

• A C3
• B C4b
• C C6
• D C5 ✓

Explanation

CEAP classification: C0 = no signs; C1 = telangiectasias; C2 = varicose veins; C3 = edema; C4a = pigmentation/eczema; C4b = lipodermatosclerosis/atrophie blanche; C5 = healed venous ulcer (with skin changes); C6 = active venous ulcer. A patient with lipodermatosclerosis AND a healed (non-active) ulcer is classified as C5. Active ulcer = C6.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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