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Stasis dermatitis
See also in: Cellulitis DDx
Other Resources UpToDate PubMed

Stasis dermatitis

See also in: Cellulitis DDx
Contributors: Jeffrey M. Cohen MD, Belinda Tan MD, PhD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Stasis dermatitis is a type of eczema that occurs in the setting of venous insufficiency and venous hypertension, which leads to an inflammatory response and results in an 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 over time. Any predisposing factor for leg edema will increase the risk, such as obesity, congestive heart failure, deep vein thrombosis (DVT), and a history of a leg fracture. 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:08/28/2018
Last Updated:11/08/2022
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Stasis dermatitis
See also in: Cellulitis DDx
A medical illustration showing key findings of Stasis dermatitis : Crust, Painful skin lesions, Peripheral leg edema, Usually bilateral
Clinical image of Stasis dermatitis - imageId=108674. Click to open in gallery.  caption: 'Large, scaly, and eroded erythematous plaques with overlying bulla formation on the shins.'
Large, scaly, and eroded erythematous plaques with overlying bulla formation on the shins.
Copyright © 2022 VisualDx®. All rights reserved.