What are dermatologic signs of stasis dermatitis?

Updated: Mar 27, 2020
  • Author: Scott L Flugman, MD; Chief Editor: Dirk M Elston, MD  more...
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Stasis dermatitis frequently occurs along with a background of skin changes that are typical for patients with venous insufficiency (and that persist regardless of the activity of stasis dermatitis). These changes include the following (see the images below):

  • Edema

  • Varicosities

  • Hyperpigmentation

  • Atrophic patches (atrophie blanche)

  • Diffuse, red-brown discoloration representing deep dermal deposits of hemosiderin (from degraded, extravasated erythrocytes)

    This patient exhibits the classic hyperpigmentatio This patient exhibits the classic hyperpigmentation and varicosities of stasis dermatitis. There is inflammatory eczematous change overlying the medial ankle, with healed scarring from recent ulceration.
    This patient with chronic stasis dermatitis exhibi This patient with chronic stasis dermatitis exhibits classic features, such as erythema, hyperpigmentation, and dilated superficial veins reflecting poor function of the deep venous system. The condition is typically confined to the lower leg, particularly the medial portion of the leg.

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