A case is described of diffuse idiopathic phlebectasia and its clinical symptoms; dilatation of veins were located in superficial and deep systems. The arteries had no changes. Genuine diffuse phlebectasia must be differentiated from phlebarteriectasia and cirsoid angioma. Angiography shows the absence of the ulnar artery and of some of the digital arteries. It shows excessive dilatation of veins and some phleboliths. The X-rays show cortical changes of the bones of the hand skeleton.

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