Furnică Cristina MD, PhD
University of Medicine and Pharmacy “Grigore T. Popa” Iasi
Stasis dermatitis: anatomoclinical and surgical management – up to date
Authors: Cristina Furnica, Raluca Ozana Chistol, Lacramioara Perianu, Alexandra Cristina Rusu, Grigore Tinica
Stasis dermatitis is an inflammatory dermatosis occurring in the late evolution stages of chronic venous insufficiency of the lower limbs. This condition may be secondary to superficial varices with reflux or of post-thrombotic origin (reflux and/or obstruction due to poorly repermeabilized deep veins). More rarely, the cause is a primitive deep valvular insufficiency. Venous hypertension due to reflux or obstruction is responsible for microcirculatory disorders leading to tissue suffering with anoxia (microangiopathy). Hyperkeratosis, parakeratosis, acanthosis, and mild spongiosis are the epidermal changes usually seen in uncomplicated stasis dermatitis. Dermal changes include proliferation of small blood vessels in the papillary dermis, variable dermal fibrosis, perivascular lymphocytic infiltration, extravasated erythrocytes, and hemosiderin-laden macrophages. In advanced stages, it is associated with dependent chronic edema, hyperpigmentation, lipodermatosclerosis, and ulcerations. The aims of the current paper are to present the anatomoclinical picture, evolution stages, skin care, surgical, endovascular and medical treatment, complication prevention (ulcers, superinfection) and management.