Dermatology - Stasis Dermatitis

Dermatology -  Stasis Dermatitis 
Stasis dermatitis is a type of chronic venous insufficiency that occurs when there is a failure in the centripetal return of venous blood and an increase in capillary pressure. Additionally, venous ulcers, edema, hyperpigmentation, and fibrosis of the skin and subcutaneous tissue are all symptoms that are associated with chronic venous insufficiency.

There is frequently a history of superficial phlebitis and deep vein thrombosis (DVT) in the patient's past. There is frequently a feeling of heaviness or soreness in the leg, which is made worse by standing (dependence) and alleviated by walking. Lipodermatosclerosis can make it difficult to move around, which might lead to an increase in stasis. Night cramps are one possibility.

Inflammatory papules, scaly and crusty erosions on the lower leg with pigmentation, stippled with recent and old hemorrhages, dermal sclerosis, and excoriations owing to scratching are all characteristics of a classic case of eczematous dermatitis.

A history, clinical findings, Doppler and color-coded Duplex sonography, as well as phlebography, are utilized in the diagnostic process. The condition known as stasis dermatitis must be differentiated from contact dermatitis related to topical treatments, which is frequently experienced in conjunction with it. There is also the possibility of concurrent irritating dermatitis, which is caused by the secretion from the stasis ulcer (for more information, see below) and the colonization of bacteria. It is possible that global eczematous dermatitis, also known as "id" reaction or autosensitization, is connected with extensive eczematous stasis dermatitis.

Glucocorticoids applied topically in conjunction with antibiotics in the event that a secondary infection is present.