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Stasis dermatitis
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Stasis dermatitis

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Contributors: Jeffrey M. Cohen MD, Belinda Tan MD, PhD, Susan Burgin MD
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Synopsis

Stasis dermatitis is a type of eczema that occurs in the setting of venous valve insufficiency and venous hypertension, which leads to an inflammatory response and results in acute or chronic dermatitis and pigmentary change of the lower legs. It usually begins on the medial malleolus but may involve the entire distal lower extremity (gaiter zone) over time. Obesity, congestive heart failure, deep vein thrombosis (DVT), history of a leg fracture, venous hypertension secondary to prolonged standing, and congenital absence of venous valves are known risk factors. Additionally, stasis dermatitis is most prevalent in older individuals.

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

Stasis dermatitis is often mistaken for cellulitis. Unlike cellulitis, the lesions of stasis dermatitis are often scaly and present bilaterally. While the patient may rarely complain of severe pain and present with a red leg, signs of infection (fever, elevated white blood cell count, and tachycardia) will be absent. Frequently, other signs of venous insufficiency, such as varicosities, will also be apparent on physical examination.

Related topic: Stasis ulcer

Codes

ICD10CM:
I83.10 – Varicose veins of unspecified lower extremity with inflammation

SNOMEDCT:
35498005 – Stasis dermatitis

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Last Reviewed: 08/29/2018
Last Updated: 09/12/2018
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Stasis dermatitis
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Stasis dermatitis : Crust, Painful skin lesions, Peripheral leg edema, Usually bilateral
Clinical image of Stasis dermatitis
Large, scaly, and eroded erythematous plaques with overlying bulla formation on the shins.
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