Small veins ( venules ) are seen in the dermal and subdermal planes on the medial side. These fan-shaped intradermal telangiectases on
the medial or lateral aspects of the foot can become troublesome in some patients.
They can become tender, bleed or painful with small ulcerations. The significance of these veins is
controversial and requires some thought. Sometimes it could be an early sign of
advanced venous disease. Alternatively, it may occur in limbs with simple
telangiectases elsewhere. Synonyms include malleolar flare and ankle flare.
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