Clinical Features:

• Affects the lower legs of middle-aged to elderly women with increased venous pressure
• Eczematous dermatitis with erythema, edema, scaling and sometimes oozing
• Brown pigmentation, ulceration and associated varicose veins can occur.

Histologic Features:

• Acute, subacute or chronic spongiotic dermatitis
• Dermal features of chronic venous hypertension:
  • Lobular proliferation of capillaries
  • Hemorrhage
  • Hemosiderin deposition
  • Fibrosis
• the dermal changes begin in the upper dermis, but with chronicity may come to involve the entire dermis and even the subcutaneous fat.

Cases associated with this book:

Stasis dermatitis
Author: Artur Zembowicz M.D. Ph.D.

Conference: DermatopathologyConsultations.com Teaching Collection