An Osteopathic Approach to Stasis Dermatitis and Chronic Venous Insufficiency

Anderson, Zachary; Nuño, Victor; Pierce-Talsma, Stacey

doi:10.7556/jaoa.2018.177

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…2 Stasis dermatitis is an inflammatory skin condition that develops secondary to edema and CVI. 6 Patients suffering from CVI have sustained venous pressures upon ambulation, leading to the dilation of blood vessels with extravasation of blood constituents from blood vessels and subsequent irritation of the skin. 7 This is followed by thinning of the skin, erythema, and development of thin scale with crusts on the surface.…”

Section: Discussionmentioning

confidence: 99%

Not Just a Dog Bite: Unmasking Underlying Chronic Venous Insufficiency

Kralec

2020

Journal for Vascular Ultrasound

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An 81-year-old man sustained a dog bite to his right lateral calf. Despite antibiotics, the patient continued to have leg swelling, severe itching, and a chronic wound. He was evaluated at the Wound Center, at which time a diagnosis of chronic venous insufficiency was made, and a venous reflux examination was recommended. The patient was scanned using Intersocietal Accreditation Commission Vascular Testing venous reflux protocol. Imaging was directed to the area of concern at the lateral calf. A 1.1-mm vein branch off the proximal calf great saphenous vein (GSV) was identified under the itching/trauma area with venous reflux identified. Venous reflux examination findings identified significant venous reflux from the right saphenofemoral junction through the distal calf GSV and vein branches. An elective right GSV endothermal venous ablation and stab phlebectomy were performed. The patient returned per protocol on postoperative day 2. He reported no pain and complete resolution of itching. Physical examination demonstrated marked improvement in the excoriated area. Surveillance duplex revealed no evidence of an endovenous heat-induced thrombosis. Venous stasis dermatitis occurs when there is inflammation of the skin caused by chronic venous insufficiency. In the early stages, symptoms include swelling at the ankles, hyperpigmentation, dryness, and itching. The development of stasis dermatitis can be precipitated by trauma, thereby unmasking underlying chronic venous insufficiency. Stasis dermatitis in this patient resolved because we treated the cause: chronic venous insufficiency.

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Section: Discussionmentioning

confidence: 99%

Not Just a Dog Bite: Unmasking Underlying Chronic Venous Insufficiency

Kralec

2020

Journal for Vascular Ultrasound

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Periferik Arter Hastalığı Tanılı Hastalarda Tek Seans Osteopatik Manuel Tedavinin Femoral Arter Çapı ve Debisine Etkisi

ORAL,

ATALAY GÜZEL,

KESER

et al. 2023

Osmangazi̇ Journal of Medicine

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The aim of this study is to investigate the effect of a single osteopathic manuel treatment (OMT) session on femoral artery diameter and flow in patients diagnosed with (Peripheral Arterial Disease) PAD. 15 patients, diagnosed with PAD, (11 male, 4 female) were included in the study. The OMT circulation model was applied to the participants for one session. Before and after the application, femoral artery diameter and flow were evaluated by radiologist. Evaluating the diameter and flow parameters according to affected extremity, it was found that femoral artery diameter and flow values showed an increase in all patients; however, the difference was not found to be statistically significant. However, comparing diameter and flow parameters in all patients showed an increase in left and right femoral artery diameter and flow. Right femoral artery diameter parameter was found to have a statistically significant difference when compared to the parameter before the application of OMT (p=0,014). While a single session of OMT did not yield statistically significant results in artery diameter and flow in affected extremities, clinically increases were detected.

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An Osteopathic Approach to Stasis Dermatitis and Chronic Venous Insufficiency

Cited by 2 publications

References 4 publications

Not Just a Dog Bite: Unmasking Underlying Chronic Venous Insufficiency

Not Just a Dog Bite: Unmasking Underlying Chronic Venous Insufficiency

Periferik Arter Hastalığı Tanılı Hastalarda Tek Seans Osteopatik Manuel Tedavinin Femoral Arter Çapı ve Debisine Etkisi

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