Diagnosis and treatment of venous eczema

Nazarko, Linda

doi:10.12968/bjcn.2009.14.5.42076

Cited by 15 publications

(15 citation statements)

References 10 publications

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“…6 Reticular veins are usually found in the feet. 18 Blue telangiectasias and intradermal venules on the medial side of the ankle and foot are considered to be a chronic sign of high distal venous pressure and early markers of CVI. 20 We found that telangiectasia was the third most frequent sign (25.3%).…”

Section: Discussionmentioning

confidence: 99%

“…While pain and erythema are predominant in the acute form due to inflammation, the chronic form exhibits with fibrosis 22 . The skin hardens and thickens and may also be accompanied by edema, pigmentation, blanch atrophy, and ulcers 18 . The leg looks like an inverted bottle 6 .…”

Section: Discussionmentioning

confidence: 99%

“…It is more prevalent in older women. It manifests with local increase in temperature, erythema, and pain and is often confused with erysipelas 18,22 . While pain and erythema are predominant in the acute form due to inflammation, the chronic form exhibits with fibrosis 22 .…”

Section: Discussionmentioning

confidence: 99%

“…19 It is present in 37%-44% of patients with leg ulcers. 18 It is usually characterized by erythema, eczematous patches, and plaques with unclear borders in the lower extremities and around the medial malleolus. Itching in the lower extremities followed by a reddish-brown discoloration may indicate stasis dermatitis.…”

Section: Discussionmentioning

confidence: 99%

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Cutaneous findings in patients with chronic venous insufficiency

Kılınç

Akbaş

Şener

et al. 2021

J of Cosmetic Dermatology

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Background Venous hypertension causes many different cutaneous findings such as varicosities, telangiectasia, edema, and pigmentation, dermatitis, and venous ulcers on the skin. Objective This study aims to investigate the cutaneous signs and symptoms of chronic venous insufficiency (CVI) and to examine their contribution to early diagnosis. Methods A total of 150 patients were included in the study who applied to the dermatology outpatient clinic and were diagnosed with skin disease related to CVI or had skin findings. Patient's age, gender, complaints, occupation, additional diseases, drug usage, history of prolonged standing and travel, smoking habit, number of pregnancies, history of varicose veins in the family, dermatological diagnosis/findings, and venous Doppler ultrasonography reports were examined retrospectively. Results 56% of patients were women. Mean age was 56.69 ± 13.6 years. Overall, 82.7% of total patients had at least one skin finding. The most frequent skin findings except varicose veins were insufficiency dermatitis accounted for 32.7% of patients, telangiectasia, and pigmentation which were comprised 25.3%, 19.3% of the total number of patients respectively. In addition to this, 48.7% of patients had itching problems and 32.7% had pain. Moreover, 46% of patients presented superficial vein insufficiency, while 8.7% had deep vein insufficiency. For 47.3% of patients, vein diameter dilation was observed and 11.3% suffered from perforating vein insufficiency. In terms of Clinical‐Etiologic‐Anatomic‐Pathophysiologic (CEAP) classification, scores of 52% of the patients were C3 and lower, while scores of 48% of total patients were C4a and higher. Conclusions Early diagnosis and treatment of chronic venous insufficiency could prevent further chronic processes such as venous ulceration which is an advanced CVI finding. Thus, assessing the early skin findings might be important to identify the underlying venous insufficiency disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cutaneous findings in patients with chronic venous insufficiency

Kılınç

Akbaş

Şener

et al. 2021

J of Cosmetic Dermatology

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“…39 In cases of acute cellulitis, the patient is treated initially with elevation and systemic antibiotics, and when the inflammation and pain subside, compression can be implemented. 41 Compression can be provided by multiple modalities, including wraps (bandage is the more commonly used term in European literature), 42 leggings, stockings, hose, garments and devices ( Table 3). The most common and best known wrap, the Unna's boot, was developed in 1883 by German dermatologist Dr Paul Gerson Unna (1850-1929) 43 and remains the most popular type of layered compression wrap in the United States; the 4-layer wrap is more widely used in the United Kingdom.…”

Section: Compression Therapymentioning

confidence: 99%

Chronic venous disease and venous leg ulcers: An evidence-based update

Kelechi

Johnson

Yates

2015

Journal of Vascular Nursing

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Eczematous Disorders

Mughal,

Ingram

2024

Rook's Textbook of Dermatology

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Eczematous disorders comprise manifestations of inflammatory skin conditions that may be aspects of atopic dermatitis, contact dermatitis or other conditions that in the main have an eczema‐like nature in both their presentation and response to treatment. Eczema and its management is covered in other chapters of this book. However, it is useful to consider the common aspects of nummular eczema, asteatotic eczema, lichenification and erythroderma in more detail together as sometimes the distinction between diagnoses is difficult with considerable overlap. Infectious eczema, whilst sharing physical characteristics with other eczemas, will respond differently to treatments. There are differences in how eczema presents on the hands, lower legs and the eyelids. Finally some other eczematous conditions are covered such as pityriasis alba and post‐traumatic eczema.

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Diagnosis and treatment of venous eczema

Cited by 15 publications

References 10 publications

Cutaneous findings in patients with chronic venous insufficiency

Cutaneous findings in patients with chronic venous insufficiency

Chronic venous disease and venous leg ulcers: An evidence-based update

Eczematous Disorders

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