STASIS DERMATITIS IN PRIMARY CARE: A CASE REPORT AND MANAGEMENT REVIEW

Abstract

Background: Stasis dermatitis is a chronic inflammatory skin disease caused by venous insufficiency that generally affects the lower legs, characterized by erythema, scale, erosion, crusting, and sometimes skin ulceration. Risk factors for stasis dermatitis include age over 50 years, obesity, trauma and female gender.  Case Presentation: We report a 62-year-old man complaining of mild itching on the right leg for 1 week. Initially, the patient complained of hyperpigmentation in his right leg skin for 1 year. On examination, we found a patient has hypertension with 168/82 mmHg blood pressure. Patient in the past was diagnosed with hypertension but never taking any drugs. Skin examination in right leg skin found edema with multiple erythematous macules, irregular edge, circumscript, confluence and multiple erosions were found, atrophie blanche and lipodermatosclerosis were also found in the distal 2/3 of the right lower leg. The patient was given topical corticosteroid therapy, moisturizers and compression. Elevation was performed while sleeping. The patient was given antihypertensive drugs captopril 25 mg x 2 and loratadine 10 mg x1 for reducing itchiness . The patient was referred to vascular surgery for further evaluation. Conclusion: Stasis dematitis is a chronic skin disease is one of the most overlook to diagnose in primary health care, the role of primary care is to give intervention from early stage to prevent worsening of the disease.