Venous stasis


  • 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


  • Duplex scan if suspicion for DVT


  • Limb elevation, compression, and increased exercise


  • Discharge

See Also

External Links