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Stasis dermatitis
See also in: Cellulitis DDx
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Stasis dermatitis

See also in: Cellulitis DDx
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Contributors: Erin X. Wei MD, Jeffrey M. Cohen MD, Belinda Tan MD, PhD, Susan Burgin MD
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Synopsis

Stasis dermatitis : Crust, Painful skin lesions, Peripheral leg edema, Usually bilateral
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

Codes

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

SNOMEDCT:
35498005 – Stasis dermatitis

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Last Reviewed:12/05/2022
Last Updated:01/17/2023
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Stasis dermatitis
See also in: Cellulitis DDx
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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.

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