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Icd-10 Code For Venous Stasis Dermatitis Of Both Lower Extremities
Stasis dermatitis causes inflammation, ulcers, and itchiness on the skin of the lower legs. It can result from conditions that affect blood flow in the legs, such as chronic venous insufficiency, varicose veins, and congestive heart failure.Stasis dermatitis is sometimes called gravitational dermatitis, venous stasis dermatitis, venous eczema, or varicose eczema. According to the National Eczema Association, stasis dermatitis occurs mostly in people ages 50 years or older and is more common in women than men. It is a long-term, or chronic, condition.An ulcer on the leg may be a sign of stasis dermatitis. A lack of circulation can affect the health of a person’s skin. If the skin breaks, an ulcer can form. An ulcer develops when the skin breaks, and the exposed cells become inflamed, die, and shed. In this article, we look at the causes, risk factors, and symptoms of stasis dermatitis. We also cover the diagnosis, treatment, and prevention of this condition.The following pictures show how stasis dermatitis can develop and affect the legs.Stasis dermatitis tends to develop in people with conditions that cause poor blood circulation in the legs, such as chronic venous insufficiency.It happens when there is high blood pressure due to a blockage in the veins or faulty valves. This causes inflammation, which can lead to skin changes, such as ulcers.For example, in chronic venous insufficiency, the valves in the leg veins do not work correctly. As a result, the blood can flow backward and pool in the lower legs. This pooling increases pressure and swelling in the veins and the symptoms of stasis dermatitis.In addition to chronic venous insufficiency, various other conditions and risk factors can affect blood flow in the legs and feet and lead to stasis dermatitis.They include:The early symptoms of stasis dermatitis primarily affect the lower legs and include:irritation and itchingchanges in skin color, which may appear brown, purple, or gray in brown or black skin and red in lighter skinother speckles of discoloration, as pressure causes the capillaries to breakscaling and dryness on the skinswelling in the anklesfeelings of heaviness or aching after standing for a long timeincreased likelihood of having contact dermatitisAs stasis dermatitis progresses, these earlier symptoms can worsen. In addition, new symptoms can appear, including:poorly defined plaques of inflamed skin on both lower legs swelling that spreads into the calvesshiny, swollen skinitchy, dry, and cracked skinopen sores, called venous ulcers, on the tops of the feet and the lower legsbleeding or oozing from ulcersPermanent skin changes can occur. The skin may become: thickharddeeply pigmentedintensely itchybumpy, like cobblestonesshrunken on the lower calfA doctor will diagnose stasis dermatitis by asking about the person’s symptoms and medical history. Previous or current conditions that they should be aware of include:problems with the heart or circulationblood clotssurgeriesinjuries to the lower legsThe doctor may then examine the skin on the lower legs to check for visual signs of stasis dermatitis. They may also order a Doppler ultrasound, a noninvasive test that uses sound waves to check the blood flow through blood vessels. These tests can help identify underlying reasons for stasis dermatitis.Additional tests to look for underlying causes include: an echocardiogram to assess heart function, including checking for congestive heart failure blood pressure monitoringin some cases, allergy testingOther conditions with similar symptoms include:cellulitiscontact dermatitispigmented purpura dermatoses, a group of skin diseases that involve bleeding from the capillariesThe goal of treatment for stasis dermatitis is to relieve symptoms, improve circulation, and prevent the condition from progressing. Treatment can include:wearing compression stockings to promote circulation and relieve swellingwearing a type of compression bandage called an Unna boot, which contains calamine and other medications to help heal a wound sleeping with legs elevatedraising the legs for 15 minutes once every 2 hourstaking medications to ease pain and reduce swelling, such as topical corticosteroidsusing antihistamines to relieve itchingusing antibiotics and special dressings to treat infected ulcersapplying emollients to moisturize and protect the skintaking vitamin C and rutin supplements to boost blood vessel healthIn some cases, a doctor may recommend minimally invasive procedures, such as: endovenous thermal ablation, a type of laser therapyultrasound-guided foam sclerotherapy, which destroys unwanted veins by injecting a combination of air and a special foaming solutionambulatory phlebectomy, a surgical procedure to remove superficial veins under local anestheticThese are treatments for varicose veins that may be used to manage underlying problems leading to stasis dermatitis.A person can take steps to manage stasis dermatitis by:wearing loose, cotton clothing and avoiding wool, polyester, and rayon, as they can irritate the skintaking care to avoid injuring the affected areaavoiding touching the skin with pet hair, plants, grass, cleaning products, and scented cosmeticsapplying a clean, cool compress for 15 minutes to soothe itchingadding colloidal oatmeal to a lukewarm bathusing a mild cleanser instead of soapafter bathing, patting the affected area with a clean towel but leaving it a little dampmoisturizing with a fragrance-free product, such as petroleum jelly, 2 minutes after bathingdrinking plenty of fluids to improve circulation and reduce swellingtaking a brisk walk for 10 minutes after sitting or standing for one hour, where possibleraising the legs when seatedPeople with stasis dermatitis should prevent the following products from coming into contact with the affected area, as they can irritate the skin and may make symptoms worse:fragranced or scented soapsperfumed cosmetics and skin care productshousehold chemicalsStasis dermatitis is not always preventable. However, making the following lifestyle changes can reduce the risk of developing stasis dermatitis or making it worse:maintaining an appropriate body mass index (BMI)getting enough exercisefollowing a low-sodium dietavoiding sitting or standing for a long time, if possiblechecking the skin regularly for changes if circulatory problems are already presentseeking early treatment if changes occurIf a person is living with a condition that increases the risk of stasis dermatitis, they should be sure to follow their doctor’s recommendations for treatment. Doing so can reduce their risk of developing this condition.Without treatment, stasis dermatitis can worsen and lead to complications that include:chronic leg ulcersleg wounds that fail to healabscessespersistent itchingpermanent skin changes, such as pigmentation and thickening of the skincellulitis, a bacterial infection in the deep layers of the skincontact dermatitisinfection of the bone, known as osteomyelitisThere is no cure for stasis dermatitis, but early treatment and preventive measures can stop it from progressing. A person can improve their outlook by:seeking help as soon as symptoms appear or worsenfollowing a doctor’s instructions for treating symptomstreating any underlying conditions that increase the riskStasis dermatitis is a long-term condition that can cause a range of skin and circulation problems in the lower legs.Treatment can help manage symptoms and prevent them from progressing. Without treatment, stasis dermatitis can lead to severe complications and discomfort.Anyone who believes they may have symptoms of stasis dermatitis should see a doctor.
Video about Icd-10 Code For Venous Stasis Dermatitis Of Both Lower Extremities
An Osteopathic Approach to Stasis Dermatitis and Chronic Venous Insufficiency
Victor Nuno, DO, demonstrates the use of lymphatic techniques to increase lymphatic flow and improve immune function in patients with chronic venous insufficiency.
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