Clinical Features

Dependent edema, erythema, and orange-brown hyperpigmentation characterize early stasis dermatitis. The medial distal legs and the pretibial leg are the areas most frequently affected. More chronic and severe cases may have bright weepy erythema and even ulceration [ Fig 239-7. (Plate. . .. 22)]. Like other dermatitic processes, pruritus is common. Bacterial infection may complicate stasis dermatitis. The presence of honey-colored crust and pustules suggest secondary bacterial infection. Cellulitis and lymphangitis may even be present.

FIG. 239-7 (Plate.22). Stasis dermatitis. Note the surrounding red-brown pigmentation and the central weepy erythema on the pretibial leg.

Stasis ulcers often begin within areas of stasis dermatitis. The medial and lateral malleolus and the medial aspect of the calf are the most common sites of involvement. The ulcer often has an aching quality with dependency. The ulcer has a punched out appearance with orange-brown hyperpigmentation at the borders and a moist pink base. Peripheral pulses are usually present.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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