Clinico-epidemiological study of stasis eczema

Authors

  • S. Vijay Shankar Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • V. N. S. Ahamed Shariff Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • S. Nirmala Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173955

Keywords:

Epidemiology, Stasis eczema, Valvular incompetence

Abstract

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.

Author Biographies

S. Vijay Shankar, Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

Resident, Department of Dermatology

V. N. S. Ahamed Shariff, Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

Senior Assistant Professor,Department Of Dermatology

S. Nirmala, Department of Dermatology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

Professor,Department Of Dermatology

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Published

2017-08-26

How to Cite

Shankar, S. V., Shariff, V. N. S. A., & Nirmala, S. (2017). Clinico-epidemiological study of stasis eczema. International Journal of Research in Medical Sciences, 5(9), 3921–3928. https://doi.org/10.18203/2320-6012.ijrms20173955

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Section

Original Research Articles