Chronic, eczematous, erythema, scaling, and noninflammatory edema of the lower extremities accompanied by cycle of scratching, excoriations, weeping, crusting, and inflammation in pa...
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...
Outpatient:
Reduce edema:
Leg elevation: legs above the level of heart for 30 minutes, 3...
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...
Coleridge-Smith PD. Leg ulcer treatment. J Vasc Surg. 2009;49(3):804–808. [View Abstract on OvidMedline]
Coleridge-Smith P, Labropoulos N, Partsch H, et al. Duplex ultrasound i...
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...
Treatment of edema associated with stasis dermatitis via elevation and/or compression stockings or bandages is essential for optimal results.
Pentoxifylline may improve venous ulcer hea...
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Varicose Veins
varicosis: in a healthy vein the valves allow blood to travel toward heart (A) while keeping blood from flowing back away from heart (B); valves in varicose veins (C) no longer function properly, thus allowing blood to travel back toward extremities, (D) photograph of leg with varicose veins
varicosis: in a healthy vein the valves allow blood to travel toward heart (A) while keeping blood from flowing back away from heart (B);...
Acute stasis dermatitis. This patient has the earliest signs of stasis dermatitis—pruritus, erythema, scale (eczematous dermatitis), and slight distal hyperpigmentation. From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Acute stasis dermatitis. This patient has the earliest signs of stasis dermatitis—pruritus, erythema, scale (eczematous dermatitis), and sl...
Stasis dermatitis with venous stasis ulcer. Note the eczematous eruption, the nonpitting edema (“woody” fibrosis) surrounding the ulcer (lipodermosclerosis). From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
Stasis dermatitis with venous stasis ulcer. Note the eczematous eruption, the nonpitting edema (“woody” fibrosis) surrounding the ulcer (li...