Dermatitis, Stasis, Panniculitis, Sclerosing Panniculitis, Lipodermatosclerosis - DermAtlas

Contributor

Kosman Sadek Zikry, MD

Diagnosis

dermatitis, stasis panniculitis sclerosing panniculitis lipodermatosclerosis

Body Site

leg ankle foot

Age

62 years

Pigmentation

medium

Organization

confluent

Color

brown bronze

Morphology

depressed (atrophy, loss of soft tissue,scar)

Pattern

asymmetric

Comments

This 62 year old woman with longstanding bilateral venous stasis dermatitis developed progressive induration, fibrosis, atrophy, and hyperpigmentation of the left medial calf. Note the inverted chanpagne bottle appearance of the lower leg from fibrosis and atrophy of the subcutaneous fat of the medial calf. The large plaque was pruritic and painful and responded partially to topical steroids, elevation, compression stockings, and local care.

Description

large hyperpigmented, atrophic, fibrotic plaque with extensive varicosities

Image Added

3/10/2002 10:29:22

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PubMed Medline Plus Medscape

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