70 yr old male with bl side ankel stasis .any treatment advised to cure and prevent.

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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 .

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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.. .

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It could be Schamberg's disease or chronic venous stasis. Should do Venous doppler study b/l LL to exclude venous incapacitance. If patient is overweight should be advised to lose weight.

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Sleep in foot raised position Tab DIOSMIN 40 OD U can try homoeopathic, hammamelis 30 Vascular surgeon opinion needed Stocking advised

? Stasis Dermatitis / Eczema

CHRONIC VENOUS STASIS

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? LSC ? STATIC Dermatitis

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Static dermatitis

Static Dermatitis

Stasis dermatitis

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