70 yr old male with bl side ankel stasis .any treatment advised to cure and prevent.
While examine the your photographs, there are plenty of greenish venules right up to the great toe with engorges of blood filled column. It is a case of venae stasis ,either superficial varicose veins or deep veins ,or incompetent veins valves .Tendelenburgh position will empty the blood and veins will disappear. Such patients will give typical h/o of vena stasis in the evening and normal in the early morning . Long standing like traffic police and staff nurse it will be problem . Preventions are stockings or crepe bandage will help to prevent the stasis . Better to meet vascular surgeon for best advise. If uncared will result in weeping venules may produce non healing maleolar ulcer,it is difficult to handle .Already there is pigmentation around the ankle and micro scars. Pigmentation around ankle reveals the cellular components outside the vessels and its scaring . Refer the case to vascular surgeon . Advise him shocking or self taught tight crepe bandage on walking or on standing but not on sleep .
IT'S A CASE OF ? STASIS DERMATITIS ? VARICOSE VEINS.. VENOUS DERMATITIS NEED'S CLINICOPATHOLOGICAL EVALUATION ..FOR CONFIRMATION AND MANAGEMENT.. WITH.. HEMOGRAM..CT BT PT.. BSR HBA1C.. COLOUR DOPLAR STUDY MEANWHILE TREAT SYMPTOMATICALLY.. STOCKINGS.. LIMB ELEVATION .. AVOID HEAVY WORK, LONG STANDING.. .
Stasis dermatitis due to varicose veins Elevation of limb, stockings, cap DAFLON, local dressings, are needed Venous Colour Doppler may show valve insufficiency of Saphenous veins or perforators, which can be corrected by surgery.
Sleep in foot raised position Tab DIOSMIN 40 OD U can try homoeopathic, hammamelis 30 Vascular surgeon opinion needed Stocking advised
Stasis dermatitis due to hampered venous return antioxidants, calcium dobesilate orally, to rule out cause get Doppler study done. antipruritic drugs and steroids locally should be used.
Static Dermatitis
Stasis dermatitis
Lipodermatosclerosis Statis dermatitis Elevation Elastic crepe bandage Excercise Elevation If itching,anti histamines Avoid prolonged standing
? Stasis Dermatitis / Eczema
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