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Venous Skin Changes

March 29th, 2020


  • Look For

  • Oedema
  • Venous eczema
  • Hyperpigmentation
  • White scar tissue (atrophie blanche)
  • Induration - fibrosis of subcutaneous fat (lipodermatosclerosis)
  • Ulceration - red, painless ulcers with moderate exudate, most commonly over the gait area (from mid-calf to 1cm below the malleoli)
  • Significance

  • Venous insufficiency.
  • Causes of Venous Skin Changes

  • Venous insufficiency
  • Venous outflow obstruction
  • Calf-muscle pump failure - obesity, immobility
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