Epidemiology
Etiology
Pathophysiology
Clinical features
Diagnostics
Treatment
Complications
Stasis dermatitis
- Definition: eczematous dermatitis of the lower extremities caused by chronic venous hypertension and inflammation
- Clinical features
- Poorly defined erythematous, eczematous, and sometimes scaly patches commonly involving the medial malleolus
- Can involve pruritus; scratching may cause lichenification.
- Acute stasis dermatitis can manifest with weeping, vesicles, and worsening erythema and edema.
- Diagnostics
- Perform diagnostic studies for CVI, including duplex US.
- Consider skin biopsy if there is diagnostic uncertainty.
- Extravasated erythrocytes, siderophages, and perivascular lymphocytes
- Treatment
- Initiate treatment of CVI, including compression therapy and referral for interventional treatment.
- Identify and treat superimposed infections.