How is venous insufficiency diagnosed? i have visibly vascular legs and hands, sensitivity in calves behind knee, eyes get red and dry. red fingers. inflammation as indicated by elevated igg/igm, but esr and crp are normal. vasculitis?

It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. It would be prudent to see a doctor, preferably a rheumatologist. Wish you good health!

Venous insufficiency of the legs is diagnosed with an ultrasound. On the other hand vasculitis is best looked for by a rheumatologist who will take a thorough history & system review and then order appropriate testing in order to make an accurate diagnosis.