Our expert says:
Hi Help, thank you for the question.
There are a number of reasons for the development of spider veins and varicose veins:
Venous disease such as venous hypertension
Hereditary hemorrhagic telangiectasia (associated with nose bleeds during childhood): blood tests should include liver function tests, FBC with differential and ESR, urine MC & S, and even ultra sound of the abdomen to check the liver, spleen and surrounding structures
Telangiectasia macularis eruptive perstans (associated with itchy skin)
Generalized essential telangiectasia
My advice would be to phone your GP or dermatologist and discuss the above possible causes and whether one should investigate further.
If all is normal then individual venous lesions may be treated with IPL or laser vein removal.
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