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Dermatitis, Stasis

Joseph A. Florence, MD and Fereshteh Gerayli, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Chronic, eczematous, erythema, scaling, and noninflammatory edema of the lower extremities accompanied by cycle of scratching, excoriations, weeping, crusting, and inflammation in pa...

DIAGNOSIS

HISTORY

  • Itching, pain, and burning may precede skin signs, which are aggravated during evening hours.

  • Insidious onset

  • Usually bilateral

  • Description may include aching/heavy legs.

  • Erythema, scalin...

TREATMENT

GENERAL MEASURES

  • Primary role of treatment is to reverse effects of venous HTN. Appropriate health care:

  • Outpatient:

    • Reduce edema:

      • Leg elevation: legs above the level of heart for 30 minutes...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • If Unna boot compression is used: Cut off and reapply boot once a week. Unna boots reduce edema by compression and prevent scratching.

  • Regular us...

REFERENCES

1
1 O’Meara S, Cullum N, Nelson EA, et al. Compression for venous leg ulcers. Cochrane Database Syst Rev.  2012;(11):CD000265.
2
2 Evidence-based (S3) guidelines for diagnostics and treat...

ADDITIONAL READING

  • Coleridge-Smith PD. Leg ulcer treatment. J Vasc Surg.  2009;49:804–808.

  • Coleridge-Smith P, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chron...

SEE ALSO

  • Varicose Veins

  • Algorithm: Rash

CODES

ICD10

  • I83.10 Varicose veins of unsp lower extremity with inflammation

  • I83.11 Varicose veins of right lower extremity with inflammation

  • I83.12 Varicose veins of left lower extremity with inflammatio...

CLINICAL PEARLS

  • Treatment of edema associated with stasis dermatitis via elevation and/or compression stockings or bandages is essential for optimal results.

  • Pentoxifylline and aspirin may improve veno...

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