Stasis dermatitis

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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W8MD medical weight loss NYC and sleep center NYC

Stasis dermatitis
Synonyms	Gravitational dermatitis, venous eczema
Pronounce	N/A
Specialty	N/A
Symptoms	Itching, scaling, hyperpigmentation, ulceration
Complications	Venous ulcer, infection
Onset	Typically in adults over 50
Duration	Chronic
Types	N/A
Causes	Chronic venous insufficiency
Risks	Obesity, sedentary lifestyle, deep vein thrombosis
Diagnosis	Clinical diagnosis, Doppler ultrasound
Differential diagnosis	Cellulitis, contact dermatitis, lipodermatosclerosis
Prevention	N/A
Treatment	Compression therapy, topical corticosteroids, emollients
Medication	Corticosteroids, antihistamines
Prognosis	N/A
Frequency	Common in older adults
Deaths	N/A

Stasis dermatitis is a skin condition that develops in people who have poor circulation. It can be a sign of underlying health problems such as congestive heart failure and deep vein thrombosis. Stasis dermatitis primarily affects the lower legs and can cause a range of symptoms, including itching, inflammation, and skin ulcers.

Causes

Stasis dermatitis is caused by poor circulation in the legs. This can occur as a result of conditions such as venous insufficiency, where the veins in the legs struggle to send blood back to the heart. Other conditions that can lead to stasis dermatitis include congestive heart failure, deep vein thrombosis, and varicose veins.

Symptoms

The symptoms of stasis dermatitis can vary in severity, but often include:

• Itching
• Redness
• Swelling
• Pain
• Darkened skin
• Skin ulcers

Diagnosis

A diagnosis of stasis dermatitis is often made based on the patient's symptoms and a physical examination. In some cases, further tests may be needed to confirm the diagnosis and rule out other conditions. These can include a Doppler ultrasound to check blood flow in the legs, and skin biopsies to examine the affected skin under a microscope.

Treatment

Treatment for stasis dermatitis aims to improve blood flow in the legs and reduce inflammation. This can involve:

• Compression stockings
• Topical corticosteroids
• Antibiotics if there is a secondary infection
• Leg elevation
• Regular exercise

Prevention

Preventing stasis dermatitis involves managing the underlying conditions that cause poor circulation. This can include:

• Regular exercise
• Maintaining a healthy weight
• Avoiding standing or sitting for long periods
• Wearing compression stockings

See also

• Venous insufficiency
• Congestive heart failure
• Deep vein thrombosis
• Varicose veins

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