

Centro Médico Teknon
Son arañas circulatorias de color rojo azulado que se hacen visibles en las piernas, especialmente en las pantorrillas y que se producen por mala circulación o estancamiento circulatorio.
Las telangiectasis son dilataciones de los plexos venosos subpapilares. Son visibles a simple vista porque se localizan inmediatamente debajo de la epidermis, lo cual constituye un inconveniente estético y representan una de las patologías que se ve con mayor frecuencia en la consulta de los médicos.
Las telangiectasias se dividen según su apariencía clínica en 4 tipos: simple o linial, arborizada, en araña o estrella y en puntiforme o popular.
Existen dos patrones comunes de telangiectasis en las piernas de las mujeres, además de venas rojas o azules:
- El patrón linial paralelo, que suele aparecer en la parte interna del muslo, y
- El patrón arborizado o "en rueda dentada", observado más frecuentemente en la cara lateral del muslo.
Entre las causas mayores o enfernedades asociadas con telangiectasis que pueden aparecer en las extremidades inferiores están: los factores genéticos y las enfermedades adquiridas por componente cutáneo secundario.
Existen en la actualidad diferentes métodos de tratamiento, pero quizás sean la microesclerosis y la fotocoagulación con láser los dos más comunes.
Como sucede con las varices, la presencia de las telangiectasias no presenta una correlación con la edad.
- Effective prevention
There are no real and certain methods to prevent varicose veins. But lifestyle indisputably influences their appearance and evolution. Practicing a sport, gymnastics, walking, massages that facilitate return of circulation and avoid stagnation of blood in the legs impedes their evolution and retards their development. Maintaining the legs high above the waist of the body, in such a manner that circulatory return is inverted and return circulation goes down instead of up, vigilance of hormonal disorders, correct diet, avoiding tight fitting clothes (girdles, etc.) and, in particular, a daily attention to obesity and a sedentary life constitute the essential rules of prevention; all help to prevent varicose veins.
Also, it is advisable in patients with venous problems in the lower extremities that they try to sleep in a position with the legs slightly elevated, to take daily baths with cold water for some minutes on each leg and to wear compression stockings as protection and support. It is good to walk barefoot and on the ends of the feet for a few minutes daily and to sleep on the spine, raising the legs and pedaling forward and backward a few minutes with the feet elevated. Lying down on the spine alternatively, raising the legs and touching with the hands the end of each foot, helps to improve the condition. In position firm, raising the ends of the feet, as well.
- Treatment
Spider veins are treated easily with cryotherapy (by cold) and also by laser.
- Microsclerosis
Sclerotherapy has been the same since the appearance of the hypodermic needle, what has changed in time have been the schlerotherapy liquids that have gone from iodine and alcohol to mercury bichloride passing through different compounds of sodium and hypertonic glucose solutions or soapy solutions with oily acids of different origins.
The current schlerotherapy agents are effective and more innocuous such as hydroxipolyetoxydodecane (etoxisclerol), discovered by Henschelt in 1966.
The requirements for a sclerosing agent must be:
- That it be a stable product, in order to ensure a uniform action.
- Easy to use: preferably of a clear color in order to reveal aspirated blood and to have some physical-chemical conditions that permit a rapid and effective technique
- That it be light: if it thickens, it obstructs the needles
- That it be painless: an important condition
- That it be innocuous: its action must be limited to cause an aseptic chemical inflammation, localized in the far parts of the injected point, the consequence of which is the destruction of the venous endothelium y the introduction of small thrombus firmly adhering to the endovein without involving the rest of the caps of the venous wall. That is to say, this might provoke an endophlebitis without periophlebitis.
- Non-clotting, since it is a schlerosing agent, just put in contact with blood, it coagulates, it tends to obstruct the tip of the syringe and causes to bring about the injection in a rapid way, by increasing the risk of provoking an extravasation.
- Active and effective: in order to permit ambulatory forms of treatment
- Atoxic and hypoallergenic: administrated in proper quantities.
- Not provoke a secondary thrombosis
- Having a limited and controllable action.
- Current Sclerotherapy agents
- Iodine (Varioglobin)
- Sodium Tetradecyl sulphate (trombovar, sotradecol)
- Sodium Salicitate
- Hydroxypolyetoxydodecane (Etoxysclerol)
- Cromique glycerin (Scleromo)


































