Venous Skin Changes
March 29th, 2020
Overview
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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