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Venous Skin Changes



    • 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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