- Stasis dermatitis
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Stasis dermatitis Classification and external resources ICD-10 I83.1 ICD-9 454.1 Stasis dermatitis (also known as "Congestion eczema," "Gravitational dermatitis," "Gravitational eczema," "Stasis eczema," and "Varicose eczema"[1]) refers to the skin changes that occur in the leg as a result of "stasis" or blood pooling from insufficient venous return; the alternative name of varicose eczema comes from a common cause of this being varicose veins.[citation needed]
Insufficient venous return results in increased pressure in the capillaries with the result that both fluid and cells may "leak" out of the capillaries. This results in red cells breaking down, with iron containing hemosiderin possibly contributing to the pathology of this entity.[2]
Contents
Symptoms
- The skin appears thin, brown and tissue-like, with possible skin lesions (macule or patches), red spots, superficial skin irritation and/or darkening and/or thickening of the skin at the ankles or legs.
- The skin may be weakened and ulcerate in areas.
- Legs, ankles, or other areas may be swollen.
- Open sores, ulcers
- Itching and/or leg pains
The cracks and poor skin condition of this disorder predisposes for the entry of bacterial infection causing spreading cellulitis infection in the leg. If the skin condition deteriorates further and breaks down, a venous ulcer (also known as stasis ulcer) may form.
Treatment
Treatment may consist of topical applications of steroid based creams and the use of compression stockings to help force the underlying buildup of fluids back out of the lower leg or sequential gradient pump therapy. Sequential Gradient Pump Therapy has been used over 30 years throughout the world.
See also
- Sinus pericranii
- List of cutaneous conditions
References
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. pp. Chapter 14. ISBN 1-4160-2999-0.
- ^ "Stasis dermatitis and ulcers". United States National Institute of Health. http://www.nlm.nih.gov/medlineplus/ency/article/000834.htm. Retrieved July 31, 2008.
Cardiovascular disease: vascular disease · Circulatory system pathology (I70–I99, 440–456) Arteries, arterioles
and capillariesAtherosclerosis (Foam cell, Fatty streak, Atheroma, Intermittent claudication) · Monckeberg's arteriosclerosis · Arteriolosclerosis (Hyaline, Hyperplastic, oxycholesterol, cholesterol, LDL, trans fat)Othertorso: Aortic aneurysm (Thoracic aortic aneurysm, Abdominal aortic aneurysm) · Aortic dissection · Coronary artery aneurysmhead/neck: Cerebral aneurysm · Intracranial berry aneurysm · Carotid artery dissection · Vertebral artery dissection · Familial aortic dissectionVeins primarily lower limb (Deep vein thrombosis)abdomen (Hepatic veno-occlusive disease, Budd–Chiari syndrome, May-Thurner syndrome, Portal vein thrombosis, Renal vein thrombosis)upper limb/torso (Paget-Schroetter disease, Mondor's disease)OtherArteries or veins Blood pressure Hypertensive heart disease · Hypertensive nephropathy · Essential hypertension · Secondary hypertension (Renovascular hypertension) · Pulmonary hypertension · Malignant hypertension · Benign hypertension · Systolic hypertension · White coat hypertensionThis cutaneous condition article is a stub. You can help Wikipedia by expanding it.