Stasis Dermatitis

Question 1

Stasis Dermatitis

Clinical Feature. Symptom, common sites. distribution. accompanying.

Answer 1

erythematous, scaly, pruritic plaques in lower legs, particularly the medial ankle. • usually bilateral, accompanied by swelling, oozing, crusting, may have accompanying varicosities

Question 2

Stasis Dermatitis

Clinical Feature. Late stages

Answer 2

brown hemosiderin deposition, woody fibrosis, atrophy blanche, and lipodermatosclerosis in late stages

Question 3

Stasis Dermatitis

Pathophysiology

Answer 3

chronic venous insuficiency leads to venous stasis

• surrounding softtissue inflammation and fibrosis results

Question 4

Stasis Dermatitis

Investigations

Answer 4

• Doppler and colour-coded Duplex sonography if suspicious for DVT
• swab for bacterial culture if there is crusting

Question 5

Stasis Dermatitis

Management

Answer 5

• compression stockings
• rest and elevate legs (above the level of the heart)
• moisturizer to treat xerosis
• mid-high potency topical corticosteroids to control inammation

Question 6

Stasis Dermatitis

Complications

Answer 6

• ulceration (common at medial malleolus), secondary bacterial infections