Venous stasis

Background

  • Decreased rate of return of venous blood flow to heart (most commonly in lower extremities)
  • Leads to characteristic vascular and skin changes
  • Common in individuals with chronic vascular disease, diabetes, obesity, smoking history, prolonged immobility

Clinical Features

Venous stasis dermatitis

  • Skin becomes darker/purple, dry, tight, and hairless
    • In severe cases may see venous insufficiency ulcers
  • Patients may complain of leg heaviness, fatigue, or cramping
  • Unlike cellulitis, erythema from venous stasis tends to change with dependent positioning of the affected limb
Long term venous stasis skin changes

Differential Diagnosis

Evaluation

  • Duplex scan if suspicion for DVT

Management

  • Limb elevation, compression, and increased exercise

Disposition

  • Discharge

See Also

External Links

References

https://www.uptodate.com/contents/overview-and-management-of-lower-extremity-chronic-venous-disease?search=venous%20stasis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H10