Chronic Venous Insufficiency - Ram Malkani

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Résumé :
Chronic Venous Insufficiency (CVI) of the legs, also known as Varicose Veins, is a prevalent condition affecting nearly a third of the population. Although most cases are asymptomatic, some patients do exhibit symptoms such as pigmentation, stasis eczema, intractable itching, and the development of ulcers. The primary cause of symptoms is venous hypertension or stasis, which is characterized by the pooling of blood in the veins near the ankle and slightly above. This occurs when the valves inside the vein fail to prevent reflux, leading to stasis. The valve incompetence can occur in the superficial or deep venous system and can be caused by infection, trauma, congenital factors, obesity, hypercoagulability leading to clotting, or prolonged periods of inactivity. Interestingly, approximately 40% of CVI patients could develop a Deep Vein Thrombosis (DVT) that resolves spontaneously (subclinical DVT). This can lead to consequences such as incompetent perforators and reflux. Diagnosis of CVI, DVT, reflux, and incompetent perforators is typically done through an ultrasound and colour Doppler, which is considered the gold standard for these diagnoses. In addition to the ultrasound, mandatory blood tests include CRP, D-Dimer, lipid profile, liver function test, and homocysteine levels. This resource is expected to be beneficial for the medical community as it provides a comprehensive understanding of a common ailment that is often misunderstood.

Biographie:
Consultant in Dermatology, in practice, from 1973. Consultant Dermatologist in Jaslok Hospital since 1978. Fellow of the Royal College of Physicians ( Eng) Member of the Indian association of dermatologists, Venereologists and Leprologists Member European Society of Dermatologists and Psychiatrists Member Psychodermatology Association of India Fellow of the American Association of Dermatology Fellow of the European Association of Dermatology Awards and Achievements: Orations ` Psychological approach in Dermatology patients` at the IADVL, Cuticon, 2020. Oration on 'Oculoctaneous Diseases' at the Maharashtra Ophthalmology Association Conference at the Amar Gian Auditorium, Mumbai 1994 Key note address : 'My tryst with Psychodermatology' Delivered at the First National Conference of the Psychodermatology Association of India, held at Kozhikode, Jan 21,2023 Life time achievement awards At the First National Conference of the Psychodermatology Association of India at Kozhikode Jan 21 2023 Life time achievement award - IADVL, Maharashtra Branch , 2012 at Nanded. Guide - The Premlata award - Best Research for HIV and Drug resistance, at the National IADVL, Pune 2020. A Jaslok Hospital research project. Acievements - President IADVL Maharashtra 1991-92. Convenor HIV prevention programme IADVL, Maharashtra 1996-2008 Founder Member Pychodermatology Association of India, 2019 Research Gate Data - 41 Publications (Researchgate) 3,123 reads 94 citations Immediate Goal Passed my entrance exam for Phd of MUHS in 2020, waiting for a guide. Training Qualified as a Psychodermatologist by the EASDaP and by virtue of 5+ 3 years of 5 days/week Psychoanalysis.