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.