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Dermatitis, Stasis

Pooja Mira Jayaprakash, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Chronic, eczematous, scaling, erythematous plaques and patches to the lower extremities accompanied by cycle of scratching, excoriations, weeping, crusting, and inflammation in patie...

DIAGNOSIS

HISTORY

  • Skin itching, pain and burning may precede visible skin changes.

  • Lower extremity edema (often initially around ankles) preceding skin eruption, insidious onset, usually bilateral.

  • Descr...

TREATMENT

GENERAL MEASURES

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

    • Reduce edema:

      • Leg elevation: legs above the level of heart for 30 minutes, 3 to 4 t...

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
O’Meara  S, Cullum  N, Nelson  EA, et al. Compression for venous leg ulcers. Cochrane Database Syst Rev.  2012;(11):CD000265. [View Abstract on OvidMedline] ...

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, exercise, and/or mechanical compression (stockings, bandages, or pneumatic devices) is essential for optimal results...

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