Venous-related skin changes may also develop, including hyperpigmentation in the perimalleolar region secondary to haemosiderin deposition, lipodermatosclerosis
with scarring, thickening of the skin secondary to fibrosis in the dermis and subcutaneous fatty tissue, and atrophie blanche characterised by circular whitish and atrophic skin surrounded by dilated capillaries and hyperpigmentation.
occurs due to inflammation, necrosis and fibrosis of subcutaneous fat and the dermis.
8) The typical clinical presentation consists of swelling, discomfort, pain, venous claudication, hyperpigmentation, stasis dermatitis venous eczema, induration, lipodermatosclerosis
, varicose veins and ultimately venous ulceration (Fig.
And that group of patients has included 66 patients with active leg ulcers, unstable healed ulcers, or disabling lipodermatosclerosis