The CEAP classification system is used to classify chronic venous disease. A patient with varicose veins, skin pigmentation, lipodermatosclerosis, and a healed venous leg ulcer would be classified as:
- A C4b
- B C6
- C C5 ✓
- D C3
Correct answer: C. C5
Explanation
CEAP Clinical Classification: C0 = no visible/palpable signs; C1 = telangiectases/reticular veins; C2 = varicose veins; C3 = oedema; C4a = pigmentation/eczema; C4b = lipodermatosclerosis/atrophie blanche; C5 = healed venous ulcer; C6 = active venous ulcer. The patient has lipodermatosclerosis (C4b) and a HEALED ulcer — therefore the highest CEAP grade is C5. C6 would apply if the ulcer were currently active. The CEAP classification assigns the highest applicable C grade.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
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Written and medically reviewed by the StethoPrep medical team.