The history of Egyptian guidelines for venous disorders started more 14 centuries B.C., as mentioned in the Ebers' papyrus when the ancient Egyptian doctor dened varicose veins as “Serpentine wings” and also recommended the method to deal with these varices “do not touch these dilated veins lest uncontrollable bleeding will occur.” Burden of CVD A recently published comprehensive systematic review on the global epidemiology of CVD identified 32 studies from six continents including >300,000 adults. It showed that the pooled prevalence of C2 disease in Africa was (5.5%).

C2 disease had a progression rate of 22% developing a venous leg ulcer (VLU) in six years. Although the progression of CVD is important, few epidemiological studies have investigated its natural history.