Clinical and epidemiological study of stasis eczema

Vijay Shankar, S (2017) Clinical and epidemiological study of stasis eczema. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Venous eczema, also known as stasis eczema is a chronic venous disease that occurs secondary to venous hypertension. The disease course begin with heaviness of legs, edema around the ankle, itching, followed by skin changes like pigmentation, eczema, hair loss, lipodermatosclerosis and eventually venous ulceration occurs. AIMS AND OBJECTIVES: To determine the following in the cases of stasis eczema. 1. To study the epidemiology of the disease. 2. To study the influence of various risk factors affecting the disease. 3. To study the clinical pattern of the disease. MATERIALS AND METHODS: All Patients attending dermatology outpatient department having signs and symptoms of stasis eczema were randomly selected for the study. The sample size is 120.Detailed case history of each patient with reference to the duration and course of the disease, occupation, type of work, exercise activity, BMI, smoking, alcohol consumption, history of venous disease, family history, and number of pregnancies were recorded in a standard questionnaire.Detailed clinical examination was done and the findings were recorded. Height, weight and Body mass index were noted. The data is analysed by statistical methods. OBSERVATION AND RESULTS: Advancing age was found to be a significant risk factor in the development of stasis eczema with the maximum prevalence noted in the sixth decade of life. Male gender was found to be more commonly affected than females in the ratio of 10:1. Venous ulcers were noted more commonly in smokers and alcoholics. Occupation involving prolonged sitting or standing was found to be a significant risk factor for the chronic venous disease. The most common cutaneous findings seen in the study group includes pigmentation and eczema which corresponds to C4 a stage of CEAP classification. Perforator incompetence were found to be more common than saphenous venous incompetence in our study group. CONCLUSION: Stasis eczema is more common in the male gender in our population which contradicts previous studies which invariably reports a female preponderance. The study confirms the importance of environmental factors in the development of the varicose veins and stasis eczema with occupation, lack of exercise, smoking and alcohol all playing a significant role.

Item Type: Thesis (Masters)
Additional Information: Reg.No.201430010
Uncontrolled Keywords: Stasis eczema, Lipodermatosclerosis, Venous hypertension.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 24 Jul 2020 06:58
Last Modified: 24 Jul 2020 06:58

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