Stasis Dermatitis

on 21.7.05 with 0 comments



Description and Symptoms

      Eczematous plaques on the bilateral lower legs/ankles accompanied by purple, hyperpigmented edematous skin. The skin may be itchy. Involved skin may easily ulcerate, heal slowly and become superinfected.

Diagnosis

    Clinical history and appearance.

    Pathology

    Poor venous return leading to chronic edema & stasis changes.

Principles of Therapy

It is important to minimize leg swelling by combining leg elevation, compression and perhaps medication (diuretics if needed). The eczematous plaques may be treated with moderate potency topical steroids (triamcinolone). Ulcers need good wound care and careful antibiotic therapy when infected. Unfortunately, this tends to be a chronic problem without cure.


Category: Dermatology Notes

POST COMMENT

0 comments:

Post a Comment