venous stasis dermatitis

venous stasis dermatitis

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SAN FRANCISCO -- If a patient presents with cellulitis on both legs, think venous stasis dermatitis, which is the number one misdiagnosis of cellulitis and a frequent cause of unnecessary hospitalization for so-called "red leg," according to Kanade Shinkai, MD, PhD.
The condition can appear red or hot or edematous, but venous stasis dermatitis almost always presents bilaterally.
The differential diagnosis for venous stasis dermatitis includes cellulitis (which rarely presents bilaterally), deep vein thrombosis, asteatotic dermatitis, erysipelas (more superficial cellulitis that results in elevated, shiny plaques), pyomyositis, necrotizing fasciitis, leukocytoclastic vasculitis, and allergic contact dermatitis.