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

*Dimas Farhan Wibawanto  -  General Practicioner, Kebayoran Baru Community Health Center, Indonesia, Indonesia
Tiffany Valentina  -  General Practicioner, Makasar Community Health Center, Indonesia, Indonesia
Dina Evariyana Bangun  -  General Practicioner, Kebayoran Baru Community Health Center, Indonesia, Indonesia
Tresia Arthati  -  General Practicioner, Kebayoran Baru Community Health Center, Indonesia, Indonesia
Open Access Copyright 2025 Dimas Farhan Wibawanto, Tiffany Valentina, Dina Evariyana Bangun, Tresia Arthati
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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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.

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Keywords: Dermatitis, Dermatitis stasis; Ulcer; Venous insufficiency

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  1. Sundaresan S, Migden MR, Silapunt S. Stasis Dermatitis: Pathophysiology, Evaluation, and Management. Am J Clin Dermatol. 2017;18(3):383-90. doi: 10.1007/s40257-016-0250-0
  2. Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. Korean J Intern Med. 2019;34(2):269-83. doi: 10.3904/kjim.2018.230
  3. Lev-Tov H, Friedman GS, Ophir I, Vlahos B, Wang G, Norman R. Stasis Dermatitis: A Review of Differential Diagnosis, Pathogenesis, and Current Treatment Options. J Integrat Dermatol. Published online March 20, 2025. doi: 10.36922/jid.129790
  4. Rzepecki AK, Blasiak RC. Stasis dermatitis: differentiation from other common causes of lower leg inflammation and management strategies. Curr Geriatr Rep. 2018;7:222-7. doi: 10.1007/s13670-018-0257-x
  5. Colón J, Granados-Romero J, Barrera-Mera B, et al. Chronic venous insufficiency: a review. Int J Res Med Sci. 2021;9. doi: 10.18203/2320-6012.ijrms20211928
  6. Lebwohl M, Kirsner RS, Margolis DJ, Barankin B, Hashimoto T, Canosa JM, et al. Stasis dermatitis: A challenging patient journey. JEADV Clin Pract. 2023;2(4):675-88. doi: 10.1002/jvc2.211
  7. Yosipovitch G, Nedorost ST, Silverberg JI, Friedman AJ, Canosa JM, Cha A. Stasis Dermatitis: An Overview of Its Clinical Presentation, Pathogenesis, and Management. Am J Clin Dermatol. 2023;24(2):275-86. doi: 10.1007/s40257-022-00753-5
  8. Rzepecki AK, Blasiak R. Stasis Dermatitis: Differentiation from Other Common Causes of Lower Leg Inflammation and Management Strategies. Curr Geriatr Rep. 2018;7(4):222-7. doi: 10.1007/s13670-018-0257-x
  9. Łastowiecka-Moras E. Standing and sitting postures at work and symptoms of venous insufficiency – results from questionnaires and a Doppler ultrasound study. Int J Occup Saf Ergon. 2020;27(4):963-9. doi: 10.1080/10803548.2020.1834232
  10. Silverberg J, Jackson JM, Kirsner RS, Adiri R, Friedman G, Gao XH, et al. Narrative Review of the Pathogenesis of Stasis Dermatitis: An Inflammatory Skin Manifestation of Venous Hypertension. Dermatol Ther (Heidelb). 2023;13(4):935-50. doi: 10.1007/s13555-023-00908-0
  11. Al-Khafaji Z, Brito S, Bin BH. Zinc and Zinc Transporters in Dermatology. Int J Mol Sci. 2022;23(24):16165. doi: 10.3390/ijms232416165
  12. Feng P, Luo Y, Ke C, Qiu H, Wang W, Zhu Y, et al. Chitosan-Based Functional Materials for Skin Wound Repair: Mechanisms and Applications. Front Bioeng Biotechnol. 2021;9:650598. doi: 10.3389/fbioe.2021.650598
  13. Patton D, Avsar P, Sayeh A, et al. A meta-review of the impact of compression therapy on venous leg ulcer healing. Int Wound J. 2023;20(2):430-47. doi: 10.1111/iwj.13891
  14. Whiteley MS. Current Best Practice in the Management of Varicose Veins. Clin Cosmet Investig Dermatol. 2022;15:567-83. doi: 10.2147/CCID.S294990
  15. Khadka S, Joshi R, Shrestha DB, et al. Amlodipine-Induced Pedal Edema and Its Relation to Other Variables in Patients at a Tertiary Level Hospital of Kathmandu, Nepal. J Pharm Technol. 2019;35(2):51-5. doi: 10.1177/8755122518809005
  16. Stacey SK, McEleney M. Topical Corticosteroids: Choice and Application. Am Fam Physician. 2021;103(6):337-43. PMID: 33719380

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