Congestive dermatitis I83.1

Author: Prof. Dr. med. Peter Altmeyer

Co-Autor: Jeton Luzha

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Last updated on: 18.12.2020

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Synonym(s)

Congestive dermatitis; Congestive dermatosis; hemostatica dermatitis; Hypodermitis; hypostatics dermatitis; Stasis dermatitis; sweet itch stasis dermatitis

Definition
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Abacterial, acute, sub-acute or chronic dermatitis of the distal lower legs accompanied by swelling, redness and a feeling of tension in chronic venous insufficiency.

Histology
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Diffuse lympho-histiocytic infiltrates of the dermis, edema, fibrosis, thickening of the vascular walls,

Therapy
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Primarily treatment of chronic venous insufficiency by decongestive measures. Elevation of the affected extremity is recommended to facilitate venous return. Compression therapy with short- or medium-stretch bandages. Lymphatic drainage can also be recommended when the dermatitis has subsided.

For the treatment of acute stasis dermatitis, apply a low-potency glucocorticoid in a preferably allergologically indifferent base(Vaselinum album, Unguentum emulsificans aquosum), e.g. 1% hydrocortisone ointment.

Progression/forecast
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Affordable with appropriate therapy. If left untreated, the chronic complicative secondary conditions of CVI such as dermatoliposclerosis and venous leg ulcers develop.

Note(s)
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Patients with stasis dermatitis are often sensitized to contact due to the long duration of the disease and numerous pre-treatments. Typical allergens are e.g. neomycin, wool wax, parabens, glucocorticoids, cetylstearyl alcohol.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 18.12.2020