Clinico-epidemiological study of stasis eczema

S. Vijay Shankar, V. N. S. Ahamed Shariff, S. Nirmala


Background: This study was done to determine the epidemiological aspects of stasis eczema and the association of various risk factors of the disease in the local population.

Methods: This cross-sectional study was done at a tertiary hospital in southern India over a period of 1 year. Epidemiological and clinical data of stasis dermatitis patients above 20 years of age were recorded. Data was tabulated and analyzed using Microsoft excel software.

Results: Of the study population of 120 prevalence is found to be highest in the age group of 50 to 60 years (42.5%) and males are more commonly affected. Occupation involving prolonged standing or sitting and lack of exercise activity is found to be a significant risk factor. The commonest skin finding in present study is eczema (80%). The most common complication was ulcer which was seen in 12.5% of our patients. Reticular veins are the most common dilated veins seen in our patients. About 70% of patients in present study fall under C4a stage of CEAP classification. About one half of symptomatic patients in present study (53.3%) had no radiological evidence of incompetent veins. Among patients with valvular incompetence, perforator veins were most commonly found to be incompetent (62.5%) followed by involvement of the saphenous venous system (23.2%).

Conclusions: The study confirms the importance of environmental factors in the development of stasis eczema. There is a ten-fold higher prevalence of the disease in men in our population compared to previous studies which invariably reports a female preponderance.


Epidemiology, Stasis eczema, Valvular incompetence

Full Text:



Jindal R, Sharma NL, Mahajan VK, Tegta GR. Contact sensitization in venous eczema: preliminary results of patch testing with Indian standard series and topical medicaments. Ind J Dermatol Venereol Leprol. 2009;75(2):136.

Joseph N, Abhishai B, Thouseef MF, Devi U, Abna A, Juneja I. A multicentre review of epidemiology and management of varicose veins for national guidance. Ann Med Surg. 2016;8:21-7.

Robertson L, Lee AJ, Gallagher K, Carmichael SJ, Evans CJ, McKinstry BH, et al. Risk factors for chronic ulceration in patients with varicose veins: a case control study. J Vascular Surg. 2009;49(6):1490-8.

Chougule A, Thappa DM. Patterns of lower leg and foot eczema in south India. Ind J Dermatol Venereol Leprol. 2008;74(5):458.

O’Donnell TF, Passman MA, Marston WA, Ennis WJ, Dalsing M, Kistner RL, et al. Management of venous leg ulcers: clinical practice guidelines of the Society for vascular surgery® and the American venous forum. J Vasc Surg. 2014;60(2):3S-59.

Vasudevan B. Venous leg ulcers: pathophysiology and classification. Ind Dermatol Online J. 2014;5(3):366.

Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic venous disorders of lower limbs: a population-based study in France. J Vasc Surg. 2004;40(4):650-9.

Evans CJ, Fowkes FGR, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population. Edinburgh Vein Study. J Epidemiol Community Health. 1999;53:149-53.

Lowell A. Goldsmith, Stephen I. Katz, Barbara A. Gilchrest, Amy S. Paller, David J. Lefell, Klaus Wolff. Fitzpatrick’s Dermatology in General Medicine: McGraw Hill; 8th edn; Volume 2;chapter 174; 2110-2112.

Abramson JH, Hopp C, Epstein LM. The epidemiology of varicose veins: a survey in western Jerusalem. J Epidemiol Community Health. 1981;35:213-7.