ABSTRACT

The eczematous nature of stasis dermatitis is represented by erythema, scaling, and xerosis of the skin of the leg. The typical patient affected with stasis dermatitis shows clinical signs of chronic venous insufficiency. The clinical complication causing the greatest long-term morbidity in patents with stasis dermatitis is cutaneous venous ulceration. Chronic stasis ulcers cause dermal scarring, which further impairs already compromised venous circulation. The resulting venous stasis ulcers may persist for many years or even decades, necessitating prolonged treatment courses and multiple, painful, inflammatory recurrences. Diagnosis of stasis dermatitis is typically based on its classic clinical appearance in a patient with signs of chronic venous insufficiency. A special circumstance in the treatment of patients with stasis dermatitis arises when there is superimposed allergic contact dermatitis. The mainstay of treatment in stasis dermatitis patients is aimed at decreasing the clinical impact of the underlying venous insufficiency.