Increased mast cell infiltration in varicose veins of the lower limbs: a possible role in the development of varices.
BACKGROUND
This study shows increased infiltration of mast cells in the walls of varicose veins in the lower limbs as an explanation of the pathogenesis of varix formation.


METHODS
Great saphenous veins exhibiting varicosity were histologically examined after vein stripping surgery, and the numbers of mast cells in the varicose lesions were estimated in 20 high-power fields (x400). Normal-looking regions of the veins were referred to as controls, and normal saphenous veins were prepared during coronary artery bypass grafting and designated baseline controls.


RESULTS
The varicose lesions showed a greater extent of mast cell infiltration (15.0 +/- 8.4 cells; mean +/- standard deviation), whereas control veins (5.9 +/- 4.0) and baseline control veins (4.4 +/-2.9) had a smaller number of mast cells.


CONCLUSIONS
The study suggests that increased mast cell infiltration contributes to the development of varicose veins.
Yamada
T
T
Department of Emergency Medicine, Saga Medical School, Japan.
Tomita
S
S
Mori
M
M
Sasatomi
E
E
Suenaga
E
E
Itoh
T
T
D000328:Adult; D000368:Aged; D002452:Cell Count; D002465:Cell Movement; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008407:Mast Cells / Q000473:pathology / Q000502:physiology*; D008875:Middle Aged; D014648:Varicose Veins / Q000209:etiology* / Q000473:pathology