Stasis dermatitis, also known as venous stasis dermatitis and stasis eczema, is a common condition that affects the lower extremities of individuals with compromised vein function (eg, venous valve insufficiency, venous hypertension). It often presents with the features of subacute eczema (scaly papules and plaques with round erosions and crusts), but acute (weeping) and chronic eczema features (lichenification, scaling, and hyper- and hypopigmentation) may also be seen.

The most common initial location includes the medial malleolus, but it may involve the entire distal lower extremity (gaiter zone) over time. Obesity, congestive heart failure, deep vein thrombosis (DVT), history of a leg fracture, prior surgery in the lower extremities or pelvic area, venous hypertension secondary to prolonged standing, and congenital absence of venous valves are known risk factors. Stasis dermatitis is most prevalent in older individuals.

Stasis dermatitis is often associated with pruritus and may cause an aching or throbbing discomfort. The condition can be complicated by ulceration and infection. Individuals with stasis dermatitis are at an increased risk of allergic contact dermatitis.

Related topic: stasis ulcer