Overview
Which condition can be confused with stasis dermatitis?
Which group is at highest risk for stasis dermatitis?
What is the role of venous insufficiency in the pathogenesis of stasis dermatitis?
What is the role of venous hypertension in the pathogenesis of stasis dermatitis?
What is the hypoxia/stasis theory for the pathogenesis of stasis dermatitis?
What is the role of lower-extremity microcirculation in the pathogenesis of stasis dermatitis?
What is the role of fibrin cuffs in the pathogenesis of stasis dermatitis?
What is the role of adhesion molecules in the pathogenesis of stasis dermatitis?
What is the role of cytokines in the pathogenesis of stasis dermatitis?
What is the role of metalloproteinases in the pathogenesis of stasis dermatitis?
What is the prevalence of stasis dermatitis in the US?
What is the global prevalence of stasis dermatitis?
How does the prevalence of stasis dermatitis vary by sex?
How does the prevalence of stasis dermatitis vary by age?
What are the complications of stasis dermatitis?
What information about stasis dermatitis should patients receive?
Presentation
What medical history suggests stasis dermatitis?
Which physical findings suggest stasis dermatitis?
Which are of the body is most frequently and severely involved in stasis dermatitis?
Which conditions have a similar presentation to stasis dermatitis?
What may result from secondary infection of stasis dermatitis?
Which eczematous conditions should be included in the differential diagnoses of stasis dermatitis?
How are the lesions of chronic stasis dermatitis characterized?
What are dermatologic signs of stasis dermatitis?
DDX
What are the differential diagnoses for Stasis Dermatitis?
Workup
What is the role of lab testing in the diagnosis of stasis dermatitis?
What is the role of imaging studies in the diagnosis of stasis dermatitis?
Which histologic findings are characteristic of acute stasis dermatitis?
Which histologic findings are characteristic of chronic stasis dermatitis?
Treatment
What is the goal of treatment for stasis dermatitis?
What other methods are used in the treatment of stasis dermatitis?
How is skin discoloration treated in stasis dermatitis?
What must be assessed prior to initiation of compression therapy for stasis dermatitis?
How is compression therapy performed in the treatment of stasis dermatitis?
What is the role of allogeneic cultured dermal substitutes in the treatment of stasis dermatitis?
Which factors contribute to patient compliance with compression therapy for stasis dermatitis?
What is the role of topical treatments for the management of stasis dermatitis?
What are risks of topical treatments for the management of stasis dermatitis?
What is the role of nonsteroidal calcineurin inhibitors in the treatment of stasis dermatitis?
Which combination therapies are effective in the treatment of stasis dermatitis?
What are the options for long-term management of stasis dermatitis?
Which systemic therapies are used in the treatment of stasis dermatitis?
How are secondary infections prevented during the treatment of stasis dermatitis?
What is the role of culture with sensitivity testing in the management of stasis dermatitis?
How are complications of stasis dermatitis treated?
What causes contact dermatitis secondary to stasis dermatitis?
What are the most frequent contact allergens that complicate stasis dermatitis?
Which agents have a low risk of contact sensitization during the treatment of stasis dermatitis?
What is topical corticosteroid allergy during the treatment of stasis dermatitis?
When should contact dermatitis be considered in patients with stasis dermatitis?
What monitoring is required following the treatment of stasis dermatitis?
Which specialist consultations are needed for the management of stasis dermatitis?
Medications
What medications are used in the treatment of stasis dermatitis?
Which medications in the drug class Corticosteroids are used in the treatment of Stasis Dermatitis?
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This patient exhibits the classic hyperpigmentation and varicosities of stasis dermatitis. There is inflammatory eczematous change overlying the medial ankle, with healed scarring from recent ulceration.
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This patient with chronic stasis dermatitis exhibits classic features, such as erythema, hyperpigmentation, and dilated superficial veins reflecting poor function of the deep venous system. The condition is typically confined to the lower leg, particularly the medial portion of the leg.
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Patient with stasis dermatitis. The large scar on the calf resulted from military shrapnel. Injuries to the venous system due to trauma or surgery are common factors in the development of stasis dermatitis.