Stasis dermatitis refers to the skin
changes that occur in the leg as a result of “stasis” or blood pooling from
insufficient venous return; the alternative name of varicose eczema
comes from a common cause of this being varicose veins.
Insufficient venous return results in increased pressure in the capillaries
with the result that both fluid and cells may “leak” out of the capillaries.
This results in red cells breaking down, with iron containing hemosiderin
possibly contributing to the pathology of this entity.
Symptoms The skin appears thin, brown and
tissue-like, with possible skin lesions, red spots, superficial skin irritation
and/or darkening and/or thickening of the skin at the ankles or legs
The skin may be weakened and may ulcerate in areas
Legs, ankles, or other areas may become swollen
Open sores, ulcers Itching and/or leg pains
Sometimes pain may persist from swollen tissues and may feel like “stabbing” or
“needle pricks” The cracks and poor skin-condition of
this disorder predisposes for the entry of bacterial infection causing spreading
cellulitis infection in the leg. If the skin condition deteriorates further and
breaks down, a venous ulcer may form. Treatment
Treatment may consist of topical applications of steroid based creams and
the use of compression stockings to help force the underlying buildup of fluids
back out of the lower leg or intermittent pneumatic compression
pumps. See also
Sinus pericranii List of cutaneous conditions