Abstract Many aspects of superficial varicose veins of the lower extremities complicating pregnancy have been controversial.* The present study offers explanations for some of the controversies. The superficial venous disorders of the lower extremities during pregnancy have universally been identified as the classical superficial saphenous varicosities. We recently differentiated from the well-known saphenous varix a hitherto undescribed, completely different, superficial venous disorder which is limited to the pregnant state.1 We applied to it the term "angiectid." † A review of the literature indicated that the failure to differentiate the angiectid from the saphenous varix in the past was the cause for many of the controversies. This shortcoming is unexplainable because the two References 1. References 1 to 8. 2. Derivation of the new term, "angiectid": angi (Gr. angeion, a vessel); ect (Gr. ektasis, a stretching); id (Gr. idios, peculiar: in this instance, peculiar to pregnancy). We have limited this term to the intradermal vessel dilatation in the lower extremities of pregnant women, as described in this paper. 3. Specimens for estrogen and pregnanediol assays were collected on the same day. 4. Based on a single evaluation for estrogen. The titer was normal. 5. Five of the eight women had two to four assays of both hormones. All titers were subnormal. 6. Focal overdistentions with broken surfaces. 7. References 3, 5, and 13 to 25. 8. References 2, 4, 6, 8, and 26 to 42; Eastman, N. J., in discussion on Hamilton.3 9. References 4, 8, 26, 36, and 37. 10. References 6, 28, 36, and 37. 11. Provided by E. R. Squibb & Sons, New York, as Stilbetin. 12. Provided by the Schering Corporation, Bloomfield, N. J., as ethisterone (Pranone). 13. References 23, and 35. 14. References 7, 8, 23, 36, and 37. 15. References 43 and 45. 16. References 43 to 66. 17. References 44, 45, and 48 to 66. 18. References 46 and 47. 19. References 52, 62, and 66. 20. References 64, and 67 to 70. 21. References 47, 71, and 72. 22. References 46 and 74. 23. Refrences 74 to 79. 24. References 44, 45, 48, 49, 54, 55, 56, 62, 80, and 81. 25. References 58, 62, and 82; Smith, O. W., in discussion on Page.84 26. Fried, P. H.; Perilstein, P. K., and Wagner, F. B., Jr.: Saphenous Varicosities vs. Angiectids: Considerations of So-Called Varicose Veins of the Lower Extremities Complicating Pregnancy , Obst. & Gynec. 2:418-426 ( (Oct.) ) 1953. 27. Mendelsohn, S. N.: Varicose Veins Complicating Pregnancy: A Review of Recent Literature and an Appraisal of Current Therapy , Ohio M. J. 47:41-43 ( (Jan.) ) 1951. 28. Hamilton, H. G.; Pittam, R. F., and Higgins, R. S.: Active Therapy of Varicose Veins in Pregnancy , South. M. J. 42:608-612 ( (July) ) 1949. 29. Siegler, J.: The Treatment of Varicose Veins in Pregnancy , Am. J. Surg. 44:403-408 ( (May) ) 1939. 30. Dodd, H.: Operation for Severe Varicose Veins During Pregnancy , Lancet 1:606-607 ( (April 9) ) 1949. 31. Fields, A.: Varicose Veins: Current Therapy , Ann. West. Med. & Surg. 4:738-743 ( (Nov.) ) 1950. 32. King, E. S. J.: The Genesis of Varicose Veins , Australian & New Zealand J. Surg. 20:126-133 ( (Nov.) ) 1950. 33. Zambonini, A.: The Venous System and the Puerperal State , Riv. ital. ginec. 30:135-137 ( (Aug.) ) 1947. 34. Rakoff, A. E.: An Improved Procedure for Biological Titration of Estrogenic Hormone in Sera of Pregnant Women , Proc. Soc. Exper. Biol. & Med. 40:195-196 ( (July) ) 1939. 35. Fried, P. H., and Rakoff, A. E.: A Rapid Chorionic Gonadotropin Assay Method for Clinical Purposes , J. Clin. Endocrinol. 12:953 ( (July) ) 1952. 36. Sommerville, I. F.; Gough, N., and Marrian, G. F.: The Quantitative Determination of Small Amounts of Pregnanediol in Human Urine , J. Endocrinol. 5:247-257 ( (Jan.) ) 1948. 37. Rakoff, A. E., and Gross, M.: Clearance of Potassium Estrone Sulfate from the Blood Following Intravenous Injection , Fed. Proc. 10:107 ( (March) ) 1951. 38. Mullane, D. 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A.M.A. Archives Surgery – American Medical Association
Published: Feb 1, 1956
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