A patient with varicose veins presenting eczema indicates a specific stage in the CEAP classification of chronic venous disorders. The CEAP classification categorizes the clinical signs of venous disease from C0 to C6. Here's a breakdown:
- C0: No visible or palpable signs of venous disease.
- C1: Telangiectasias or reticular veins.
- C2: Varicose veins are present.
- C3: Presence of edema.
- C4: Skin changes due to venous disease, further sub-categorized as C4a and C4b.
The sub-category C4a refers to pigmentation and eczema, which aligns with the patient's symptoms of eczema in the region of the varicose veins. Thus, the correct classification stage according to the CEAP guidelines is C4a.