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Related Experiment Videos

Acute lipodermatosclerosis is associated with venous insufficiency

A S Greenberg1, A Hasan, B M Montalvo

  • 1Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, FL 33136, USA.

Journal of the American Academy of Dermatology
|October 1, 1996
PubMed
Summary
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Acute lipodermatosclerosis, often linked to venous insufficiency, shows objective signs of venous disease in most patients. This study confirms a strong association between acute lipodermatosclerosis and venous insufficiency.

Area of Science:

  • Vascular Medicine
  • Dermatology
  • Phlebology

Background:

  • Acute lipodermatosclerosis presents as leg pain and tenderness, often associated with chronic venous disease.
  • While presumed to stem from venous insufficiency, direct evidence linking acute lipodermatosclerosis to venous disease is lacking.

Purpose of the Study:

  • To investigate the association between acute lipodermatosclerosis and venous insufficiency.

Main Methods:

  • Air plethysmography was used to assess venous filling index, ejection fraction, and residual volume fraction in 15 patients.
  • Duplex venous ultrasonography was employed in specific cases.

Main Results:

  • 67% of patients exhibited at least one abnormal venous function result.

Related Experiment Videos

  • 53% had two abnormal results, and 13% had three.
  • Four patients (27%) showed abnormalities in both venous reflux and ejection; duplex ultrasound identified incompetent perforators in two patients with normal air plethysmography results.

    • Conclusions:

    • A high percentage of patients with acute lipodermatosclerosis demonstrate objective evidence of venous insufficiency.
    • The findings strongly suggest that acute lipodermatosclerosis is a manifestation of underlying venous disease.