Stasis Dermatitis

Flugman, Scott L.

doi:10.1201/b16138-17

Cited by 3 publications

(8 citation statements)

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“…The mean patient age of patient occurrences in this study is 72.4 years which is in the same age range described by Flugman (2017), who reports that the prevalence of stasis dermatitis may be higher than 20% in patients older than 70 years. This is also in accordance with the Vascular Disease Foundation (2012) statistics, reporting 40% of women and 20% of men have significant leg vein problems by the age of 50 years.…”

Section: Discussionsupporting

confidence: 76%

Using compression therapy in a primary care setting to treat complications of chronic venous insufficiency

Love

White

Vestal³

2019

J Am Assoc Nurse Pract

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Background: Patients with chronic venous insufficiency (CVI) are prone to developing complications such as slow-healing venous leg ulcers. Local Problem: Nurse practitioners can assess patients for complications of CVI during routine examinations. If found, they can implement compression therapy and possibly prevent the development of slow-healing venous leg ulcers. Methods: A retrospective chart review of patient occurrences with complications due to CVI between 2011 and 2018 was conducted to evaluate patient outcomes when treated with compression therapy by their primary care providers (PCPs). Patients were identified by the Unna boot's Current Procedural Technology code, the compression therapy used by the providers. Patients included in the review had the diagnosis of or symptoms of CVI. Patient outcomes were identified as improved, unchanged, or deteriorated. Interventions: The use of compression therapy for patients with documented complication of CVI. The Unna boot was the compression device used at this practice. Results: There were 60 occurrences distributed among 40 patients who met the inclusion criteria. Of the 60 occurrences, 54 or 90% of patient occurrences had an improvement of symptoms. According to the Wound Healing Society Guidelines, high compression therapy, such as the Unna boot, is classified as most supportive, for treatment of venous ulcers. Conclusions: The results of this study demonstrate the positive impact PCPs, including nurse practitioners, may have when initiating compression therapy for patients with complications of CVI.

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Section: Discussionsupporting

confidence: 76%

Using compression therapy in a primary care setting to treat complications of chronic venous insufficiency

Love

White

Vestal³

2019

J Am Assoc Nurse Pract

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“…18 This occurs more commonly in the presence of corticosteroid creams, which are often used to treat dermatotic skin conditions. 20 Screen recalcitrant LL dermatitis for the presence of dermatophytes with a fungal culture. 21 Cellulitis of the LL (Figure 4) can occasionally present as LL dermatitis with redness, scaling, and weeping.…”

Section: Differential Diagnosismentioning

confidence: 99%

“…Under favorable conditions, such as is seen with occlusive dressings and moist environments, the dermatophytes responsible for TP can spread onto the intact epidermis, especially under compression wraps, resulting in pruritus, redness, scaling, and weeping: the clinical picture of dermatitis 18 . This occurs more commonly in the presence of corticosteroid creams, which are often used to treat dermatotic skin conditions 20 . Screen recalcitrant LL dermatitis for the presence of dermatophytes with a fungal culture 21 …”

Section: Differential Diagnosismentioning

confidence: 99%

What Is the Role of Allergic Contact Dermatitis in Patients with Lower Leg Ulcers?

Parsons

2023

Adv Skin Wound Care

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Lower leg ulcers are a common clinical presentation to wound care clinics. They are often associated with the presence of dermatitis on the periwound skin, which can be a factor in delayed wound healing. Correctly diagnosing the underlying etiology is critical to reversing the breakdown in the skin barrier function. The author discusses allergic contact dermatitis as an etiology and describes the most common allergens, fragrances, and preservatives identified from a limited literature review. Patch testing is the criterion standard for the diagnosis of allergic contact dermatitis and is the most appropriate means of identifying causative allergens. An algorithm for the identification and treatment of lower leg dermatitis is provided to simplify the process. GENERAL PURPOSE To analyze the relationship between contact dermatitis and delayed wound healing, discuss the diagnosis and treatment of lower leg contact dermatitis, and provide an algorithm for the patient with a red leg and delayed wound healing. TARGET AUDIENCE This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES After participating in this educational activity, the participant will: 1. Describe the nature of contact dermatitis. 2. Distinguish between allergic and irritant contact dermatitis and the other major differential diagnoses of delayed wound healing in this clinical scenario. 3. Outline the steps in the diagnosis of allergic contact dermatitis and irritant contact dermatitis and identify common haptens responsible for allergic contact dermatitis in patients with venous leg ulcers. 4. Apply the algorithm for delayed wound healing on a background of lower leg dermatitis.

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“…Both conditions are characterized by violaceous plaques and nodules; however, a skin biopsy of SD shows epidermal parakeratosis and spongiosis and a greater hemosiderin deposition. Moreover, acroangiodermatitis has a deeper dermal involvement versus SD 15,37 . However, biopsies should be avoided if possible due to concern that a nonhealing ulcer can be introduced at the biopsy site 1,2 …”

Section: The Patient Journeymentioning

confidence: 99%

“…Prevalence of CVI in Asian populations has been found to be lower compared with non‐Hispanic White populations, although prevalence in South Korea is rising due to underdiagnosis of CVI, increased obesity, and an aging population 5,14 . Prevalence of SD in patients >50 years in the United States is estimated to be 6%–7% (equivalent to 15–20 million individuals), making SD twice as prevalent as psoriasis 15–17 . Moreover, an estimated 2–6 million people in the United States have advanced forms of CVI such as leg swelling and skin changes, and 500,000 have VLUs 1 …”

Section: Introductionmentioning

confidence: 99%

Stasis dermatitis: A challenging patient journey

Lebwohl,

Kirsner,

Margolis

et al. 2023

JEADV Clinical Practice

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Stasis dermatitis (SD) is a chronic inflammatory dermatosis that typically presents with nonspecific signs and symptoms such as pruritic and xerotic skin, aching legs, and areas of dyspigmentation (red or brown in lighter skin tones and brown, purple, gray, or ashen in darker skin tones). These signs and symptoms are often misdiagnosed as other conditions, such as cellulitis. Moreover, within healthcare systems, SD is often overlooked due to a lack of understanding of the magnitude and impact of the condition, as well as incomplete recognition of the various presenting clinical manifestations. Inadequate or inappropriate management may lead to disease progression, including worsening edema, pain, and itch as well as complications such as venous leg ulcers. When patients do seek medical attention (often upon worsening of the condition), a diagnosis of SD is often challenging because of physician lack of expertise and the plethora of disorders that may manifest similarly to SD. Furthermore, upon diagnosis, evidence‐based treatment options are limited, and adherence to SD treatment regimens is often low. SD significantly impacts patient and caregiver quality of life (QoL), with far‐reaching psychosocial and socioeconomic effects. In this review, we describe the patient journey associated with SD and the challenges associated with diagnosis, the burden of disease and impact on patient QoL, and the unmet needs that remain with current therapeutic options.

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Stasis Dermatitis

Cited by 3 publications

References 0 publications

Using compression therapy in a primary care setting to treat complications of chronic venous insufficiency

Using compression therapy in a primary care setting to treat complications of chronic venous insufficiency

What Is the Role of Allergic Contact Dermatitis in Patients with Lower Leg Ulcers?

Stasis dermatitis: A challenging patient journey

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