Evidence that venous hypertension causes stasis dermatitis
| Autor: | Kirstin Sippel, B Ballmer, Jürg Hafner, Severin Läuchli, Dieter Mayer, Lars E. French, Galya Dragieva |
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| Přispěvatelé: | University of Zurich, Sippel, K |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Chronic venous insufficiency 610 Medicine & health Dermatitis 2705 Cardiology and Cardiovascular Medicine Long Saphenous Vein Varicose veins medicine Humans Saphenous Vein Aged Retrospective Studies Leg Groin business.industry Great saphenous vein 10177 Dermatology Clinic Retrospective cohort study General Medicine Middle Aged medicine.disease 10020 Clinic for Cardiac Surgery Surgery body regions medicine.anatomical_structure Venous Insufficiency Hypertension Female medicine.symptom Cardiology and Cardiovascular Medicine Ligation business Contact dermatitis |
| Zdroj: | Phlebology. 26(8) |
| ISSN: | 1758-1125 |
| Popis: | A clinical model to examine the hypothesis that venous hypertension of the lower leg per se can cause lower leg stasis dermatitis is described. To prove this concept, we retrospectively studied a consecutive series of 38 patients with lower leg dermatitis who underwent phlebological examination at our consultation over a period of four years. Among those patients who had an insufficiency of the superficial veins only, without insufficiency of the deep veins, 22 had undergone patch testing to common allergens in phlebology. We found 10 patients with a stasis dermatitis of the lower leg and an incompetent great saphenous vein, six of whom had no detectable contact sensitization at all and another four exclusively to phlebologically irrelevant substances, e.g. nickel, cobalt, chromate or epoxid resin. All these 10 patients showed long saphenous vein incompetence from the groin to the medial aspect of the leg. All were operated by classical flush ligation and saphenectomy. Lower leg dermatitis healed in all 10 patients within 8–12 weeks and no recurrence was observed (1 year follow-up). These results support clinical experience that venous hypertension alone indeed can cause lower leg dermatitis. |
| Databáze: | OpenAIRE |
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