What is the The 2020 update of the CEAP classification system and reporting standards
CEAP stands for Clinical-Etiology-Anatomy-Pathophysiology. This classification is an internationally accepted standard used to describe patients with chronic venous disorders.
This classification has also been used for reporting clinical research findings in scientific journals.
CEAP was developed in 1993, updated in 1996, and revised in 2004.
CEAP is a classification system based on clinical manifestations of chronic venous disorders, on current understanding of the etiology, the involved anatomy, and the underlying venous pathology.
Here is the report which is published in the “Journal of Vascular Surgery: Venous and Lymphatic Disorders in the month of May 2020.
C – Clinical Manifestations, E – Etiology, A – Anatomic Distribution, P – Pathophysiology
| C0 | No visible or palpable signs of venous disease |
| C1 | Telangiectasis or reticular veins |
| C2 | Varicose veins |
| C2r | Recurrent Varicose veins |
| C3 | Edema |
| C4 | Changes in skin and subcutaneous tissue secondary to chronic venous disease |
| C4a | Pigmentation or eczema |
| C4b | Lipodermatosclerosis or atrophie blanche |
| C4c | Corona Phlebectatica |
| C5 | Healed |
| C6 | Active Venous Ulcer |
| C6r | Recurrent Active Venous Ulcer |
Certain changes are added in this update, which includes adding Corona phlebectatica as the C4c clinical subclass, introducing the modifier “r” for recurrent varicose veins and recurrent venous ulcers, and replacing numeric descriptions of the venous segments by their common abbreviations.
