The occurrence of varicose veins in the legs in varying degrees of severity, is much more general and frequent than is usually assumed. Relief is sought only in the more advanced cases, usually those in which considerable incapacitation has occurred. While the patient with a more advanced case may bring his malady to the attention of his physician, the less marked and early case is only observed on careful physical examination, and even then only by the physician who notes the condition of the legs with the patient standing. Yet, it is the early case that offers the most favorable ultimate prognosis. Because of the neglect to note this condition, the case records of even the best conducted clinics are not available in determining the frequency. Even a random estimation would not be of value. General observation leads one to feel that varicose veins are of greater frequency among the
NICHOLSON BB. VARICOSE VEINS: ETIOLOGY AND TREATMENT; A CLINICAL AND HISTOLOGIC STUDY. Arch Surg. 1927;15(3):351–376. doi:10.1001/archsurg.1927.01130210036002
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