Difference between revisions of "Stasis dermatitis"
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==Gross== | ==Gross== | ||
Features: | Features:<ref name=pmid19925928/> | ||
*Location: lower legs - '''important'''. | *Location: lower legs - '''important'''. | ||
*Lightly brown papules and plaques. | *Lightly brown papules and plaques. | ||
*Pitting edema. | *Pitting edema. | ||
DDx: | |||
*[[Inflammatory skin]]. | |||
**[[Psoriasiform dermatitis]].<ref>{{cite journal |author=Alsaad KO, Ghazarian D |title=My approach to superficial inflammatory dermatoses |journal=J. Clin. Pathol. |volume=58 |issue=12 |pages=1233–41 |year=2005 |month=December |pmid=16311340 |pmc=1770784 |doi=10.1136/jcp.2005.027151 |url=}}</ref> | |||
==Microscopic== | ==Microscopic== | ||
Features: | Features: | ||
*Pale superficial dermis. | *Pale superficial dermis. | ||
* | *Flattened rete ridges. | ||
**Irregular small. | |||
*No basal atypia. | *No basal atypia. | ||
*Siderophages.<ref>URL: [http://tpis.upmc.com/tpislibrary/SS/S00001/ES00001.html http://tpis.upmc.com/tpislibrary/SS/S00001/ES00001.html]. Accessed on: 9 June 2014.</ref> | |||
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<pre> | |||
SKIN LESION, RIGHT ANTERIOR TIBIA, PUNCH BIOPSY: | |||
- SKIN WITH HYPERKERATOSIS, HYPERGRANULOSIS, MILD ACANTHOSIS WITH SAWTOOTH | |||
RETE RIDGES AND A PALE CONGESTED APPEARING SUPERFICIAL DERMIS. | |||
- NEGATIVE FOR DYSPLASIA. | |||
- NEGATIVE FOR MALIGNANCY. | |||
COMMENT: | |||
The clinical findings are noted. Followup is suggested. The findings are compatible | |||
with stasis dermatitis. | |||
</pre> | |||
===Micro=== | |||
The sections show skin with hyperkeratosis, parakeratosis and mild acanthosis. | |||
The superficial dermis appears pale and congested. Solar elastosis is present. | |||
There is no significant inflammation. No basal atypia is apparent. Mitotic activity is not | |||
readily identified. No parakeratosis is apparent. | |||
==See also== | ==See also== | ||
Latest revision as of 15:14, 9 June 2014
Stasis dermatitis is a relatively common skin pathology in elderly individuals.
General
- Due to venous stasis.[1]
Gross
Features:[1]
- Location: lower legs - important.
- Lightly brown papules and plaques.
- Pitting edema.
DDx:
Microscopic
Features:
- Pale superficial dermis.
- Flattened rete ridges.
- Irregular small.
- No basal atypia.
- Siderophages.[3]
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SKIN LESION, RIGHT ANTERIOR TIBIA, PUNCH BIOPSY: - SKIN WITH HYPERKERATOSIS, HYPERGRANULOSIS, MILD ACANTHOSIS WITH SAWTOOTH RETE RIDGES AND A PALE CONGESTED APPEARING SUPERFICIAL DERMIS. - NEGATIVE FOR DYSPLASIA. - NEGATIVE FOR MALIGNANCY. COMMENT: The clinical findings are noted. Followup is suggested. The findings are compatible with stasis dermatitis.
Micro
The sections show skin with hyperkeratosis, parakeratosis and mild acanthosis. The superficial dermis appears pale and congested. Solar elastosis is present.
There is no significant inflammation. No basal atypia is apparent. Mitotic activity is not readily identified. No parakeratosis is apparent.
See also
References
- ↑ 1.0 1.1 Weaver J, Billings SD (December 2009). "Initial presentation of stasis dermatitis mimicking solitary lesions: a previously unrecognized clinical scenario". J. Am. Acad. Dermatol. 61 (6): 1028–32. doi:10.1016/j.jaad.2009.04.025. PMID 19925928.
- ↑ Alsaad KO, Ghazarian D (December 2005). "My approach to superficial inflammatory dermatoses". J. Clin. Pathol. 58 (12): 1233–41. doi:10.1136/jcp.2005.027151. PMC 1770784. PMID 16311340. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1770784/.
- ↑ URL: http://tpis.upmc.com/tpislibrary/SS/S00001/ES00001.html. Accessed on: 9 June 2014.