In the treatment of primary incompetent greater saphenous veins, 3% polidocanol foam seems to be more effective than 1% polidocanol foam. The side effects were approximately similar in both groups.

We compared diagnoses made by a teledermatologist from digital photographs and patient histories sent from general practitioners using a store-and-forward technique and those made by another dermatologist in a face-to-face consultation with the same patients. A total of 117 patients (mean age 47 years) were referred by 18 general practitioners for diagnosis of a skin condition. Between one and seven digital images were transmitted per case. In 31% of the cases, three images were transmitted. There was full concordance between store-and-forward and face-to-face diagnoses in 57 of 106 cases (54%); in 10 cases (9%) there was overlap between the differential diagnoses provided by the teledermatologist and the face-to-face consultant. Diagnostic categories with relatively high concordances were eczema and follicular eruptions. General practitioners need to be trained in the making of digital images and in giving a good patient history.

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Zusammenfassung:Ziel: Bestimmung der funktionellen Verbesserung des Venensystems nach Behandlung einer insuffizienten Vena saphena parva (VSP) mittels Ultraschall-geführter Sklerotherapie. Patienten: 11 Unterschenkel von ambulanten Patienten (Überweisungszentrum, stationäre Praxis) mit solitärer, primärer Insuffizienz der VSP wurden der Ultraschall-kontrollierten Sklerotherapie unterzogen. Methoden: Vor sowie eine Woche nach der Behandlung wurde der venöse Füllungsindex (VFI) mittels Luftplethysmographie bestimmt. Ergebnisse: Eine Woche nach der Behandlung konnte eine statistisch signifikante Abnahme des VFI gegenüber dem ursprünglichen VFI beobachtet werden (2,7 ml/s versus 1,7 ml/s, p = 0,003).