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Venous eczema

Anna Franz, Christine Wann-Hansson
AIMS AND OBJECTIVES: The aim was to describe the experience of living with varicose veins classified according CEAP (clinical class, aetiology, anatomy, pathophysiology) as C4 (eczema or thrombophlebitis) and management of the disease in daily life. BACKGROUND: Primary chronic venous insufficiencies with varicose veins are a relatively common condition among both men and women. Several studies have shown that quality of life improved after treatment of varicose veins compared to before treatment...
March 2016: Journal of Clinical Nursing
Michele Ruggiero, Raffaele Grande, Agostino Naso, Lucia Butrico, Paolo Rubino, Girolamo Domenico Placida, Marco Cannistrà, Raffaele Serra
Chronic venous insufficiency (CVI) is the most advanced form of chronic venous disease (CVD), and is often associated with skin changes such as hyperpigmentation, eczema, lipodermatosclerosis and venous skin ulceration that cause discomfort, pain, sleep disturbances, absenteeism in the workplace, disability and deteriorated quality of life (QoL). The purpose of this study is to evaluate the prevalence of CVI and skin changes in patients who turn to Continuous Assistance Services due to the presence of disturbing symptoms of their condition...
October 2016: International Wound Journal
Milena Wojciechowska, Rafał Czajkowski, Bogna Kowaliszyn, Magdalena Żbikowska-Gotz, Zbigniew Bartuzi
INTRODUCTION: The complex course of skin reactions that contact eczema involves is due in part to abnormalities of the extracellular matrix function. Proteins that degrade extracellular matrix components include metalloproteinases (MMP), which are divided into subcategories depending on the chemical structure and substrate specificity. AIM: To analyse patch test results in contact dermatitis patients and to assess MMP-2 levels during skin lesion exacerbation and remission...
June 2015: Postȩpy Dermatologii i Alergologii
Teresa J Kelechi, Jan J Johnson, Stephanie Yates
Chronic venous disease (CVD) is a complex chronic vascular condition with multifaceted primary and secondary etiologies leading to structural and functional changes in veins and valves and blood flow of the lower legs. As a consequence, a spectrum of clinical manifestations arise, ranging from symptoms of mild leg heaviness and achiness to debilitating pain, and signs of skin changes, such as eczema and hemosiderosis, to nonhealing, heavily draining venous leg ulcers (VLUs). Triggers such as trauma to the skin are responsible for a large majority of VLU recurrences...
June 2015: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
Edyta Tracz, Ewa Zamojska, Andrzej Modrzejewski, Daniel Zaborski, Wilhelm Grzesiak
The quality of life (QoL) in patients with advanced venous insufficiency (including venous stasis ulcers, skin discoloration, stasis eczema, and lipodermatosclerosis) assessed using the Clinical Etiological Anatomical Pathophysiological (CEAP) and Venous Clinical Severity Score (VCSS) classifications is presented. Also, disease features such as: intensity of pain, edema and inflammatory response that exerted the most profound effect on different domains of QoL are reported. The global QoL in patients with lower leg venous ulcerations was relatively similar to that observed in other patients with chronic venous insufficiency...
March 2015: Holistic Nursing Practice
Abderrahmen Masmoudi, Mounira Hajjaji Darouiche, Haifa Ben Salah, Mohamed Ben Hmida, Hamida Turki
BACKGROUND: Cutaneous manifestations occurring in patients with end stage renal failure on hemodialysis are polymorphic and diverse. OBJECTIVE: The aim of our study was to assess the prevalence and characteristics of different cutaneous manifestations in patients on hemodialysis. PATIENTS AND METHODS: We led a transverse investigation of all patients on hemodialysis in 12 haemodialysis centres of Sfax (Tunisia). We examined 458 patients (254 men and 204 women)...
December 31, 2014: Journal of Dermatological Case Reports
Yaling Yang, John Brazier, Louise Longworth
AIMS AND OBJECTIVES: This systematic literature review aims to assess the reliability, validity and responsiveness of three widely used generic preference-based measures of health-related quality of life (HRQL), i.e., EQ-5D, Health Utility Index 3 (HUI3) and SF-6D in patients with skin conditions. METHODS: A systematic search was conducted to identify studies reporting health state utility values obtained using EQ-5D, SF-6D, or HUI3 alongside other HRQL measures or clinical indices for patients with skin conditions...
December 2015: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
Irén Haltrich, Henriett Pikó, Eszter Kiss, Zsuzsa Tóth, Veronika Karcagi, György Fekete
BACKGROUND: Microduplications 22q11 have been characterized as a genomic duplication syndrome mediated by nonallelic homologous recombination between region-specific low-copy repeats. Here we report on a 19 years old boy with intellectual disability having an unexpected structurally complex ring small supernumerary marker chromosome (sSMC) originated from a larger trisomy and a smaller tetrasomy of proximal 22q11 harboring additional copies of cat eye syndrome critical regions genes. RESULTS: PRINCIPAL CLINICAL FEATURES WERE: anorectal and urogenital malformations, total anomalous pulmonary venous return with secundum ASD, hearing defect, preauricular pits, seizure and eczema...
2014: Molecular Cytogenetics
Glenn Smith, Deborah Simon, Emma McDermott, Elaine Gibson
This study investigates the effect of a new short-stretch two-layer compression system in eight patients with common chronic lower-limb conditions in three locations in the UK. Chronic leg ulcers are the most common type of lower-limb ulceration with 70% caused by chronic venous hypertension. An appropriate level of compression is proven to heal chronic venous leg ulcers. The study was only a small sample of patients; however, the underlying conditions included chronic venous eczema, diabetes, sarcoma, cellulitis and mixed-aetiology ulcers...
June 2014: British Journal of Community Nursing
Raghu Kolluri
Chronic venous insufficiency (CVI) results from venous hypertension secondary to superficial or deep venous valvular reflux, as well as venous obstruction. The most severe clinical manifestation of CVI is venous leg ulceration that can result in significant morbidity, including venous gangrene and amputation, albeit rare. Treatment modalities are aimed at reducing venous hypertension. Diuretic therapy, although widely used, only provides short-term improvement of the edema but provides no long-term benefit...
June 2014: Techniques in Vascular and Interventional Radiology
E Michael Lewiecki, Paul D Miller, Steve T Harris, Douglas C Bauer, K Shawn Davison, Larry Dian, David A Hanley, Michael R McClung, Chui K Yuen, David L Kendler
The number needed to treat is a valuable metric to determine the benefit of therapy, but it must be viewed against the respective number needed to harm. Denosumab and teriparatide (TPTD) have proven antifracture efficacy at vertebral and nonvertebral sites, whereas raloxifene has proven antifracture efficacy at the spine only. Denosumab use has been associated with a small, yet statistically significant, increased incidence of eczema and serious cellulitis. Raloxifene use has been associated with statistically significant increases in the risk of venous thromboembolism and possibly deadly stroke, although not an increase in total strokes...
October 2014: Journal of Clinical Densitometry
Laurel M Morton, Tania J Phillips
Cutaneous changes are a common feature of chronic venous insufficiency and include venous eczema and lipodermatosclerosis. This review will address the presumed pathophysiology of these conditions, their clinical findings, and important management strategies.
September 2013: Seminars in Cutaneous Medicine and Surgery
Kirsi Isoherranen, Sari Koskenmies, Hannele Heikkilä
Swollen lower limb is a diagnostic challenge for a physician. Common conditions causing swelling of lower extremities are chronic venous insufficiency and abnormalities in lymph drainage. Stasis dermatitis and lymphedema are manifestations of these defects. The most important therapy of both stasis dermatitis and lymphedema is adequate compression therapy. Patient education is important in order to achieve good compliance with compression therapy. The mainstay therapies of skin eczema are corticosteroids and tacrolimus ointment...
2013: Duodecim; Lääketieteellinen Aikakauskirja
(no author information available yet)
No abstract text is available yet for this article.
October 2012: Annales de Dermatologie et de Vénéréologie
Teresa J Kelechi, Jan J Johnson
This article provides an executive summary of the lower extremity venous disease (LEVD) evidence-based guideline produced by the WOCN Wound Guidelines Task Force. The target audience for this guideline is health care professionals who specialize in, direct, or provide wound care for patients at risk for or with lower-extremity venous disease. The full guideline opens with an overview of definitions of LEVD, its prevalence, clinical relevance, etiology, related physiology and pathophysiology, and overall management goals for patients at risk for developing venous leg ulcers...
November 2012: Journal of Wound, Ostomy, and Continence Nursing
T Nijsten
The concept of integrated care, which implies a team of medical specialists, general physicians, specialized nurses and psychologists, is increasingly advocated, but often without appropriate high level evidence. Two independent and high quality multicenter randomized clinical trials evaluated the benefits of the integrated care model compared to usual care for venous leg ulcers and chronic hand dermatitis in the Netherlands. Adherence to compression stockings in patients with venous leg ulcers remained low in the integrated care and control groups...
2012: Nederlands Tijdschrift Voor Geneeskunde
(no author information available yet)
OBJECTIVE: The objective of the MAS evidence review was to conduct a systematic review of the available evidence on the safety, effectiveness, durability and cost-effectiveness of endovascular radiofrequency ablation (RFA) for the treatment of primary symptomatic varicose veins. BACKGROUND: The Ontario Health Technology Advisory Committee (OHTAC) met on August 26th, 2010 to review the safety, effectiveness, durability, and cost-effectiveness of RFA for the treatment of primary symptomatic varicose veins based on an evidence-based review by the Medical Advisory Secretariat (MAS)...
2011: Ontario Health Technology Assessment Series
(no author information available yet)
OBJECTIVE: The objective of the MAS evidence review was to conduct a systematic review of the available evidence on the safety, effectiveness, durability and cost-effectiveness of endovascular laser therapy (ELT) for the treatment of primary symptomatic varicose veins (VV). BACKGROUND: The Ontario Health Technology Advisory Committee (OHTAC) met on November 27, 2009 to review the safety, effectiveness, durability and cost-effectiveness of ELT for the treatment of primary VV based on an evidence-based review by the Medical Advisory Secretariat (MAS)...
2010: Ontario Health Technology Assessment Series
Carrie Wingfield
The diagnosis of lower limb cellulitis requires careful and structured assessment. This article looks at the assessment, diagnosis and management of cellulitis, focusing on the lower limb. Assessment should include good skin examination as active skin disease, such as venous stasis eczema and athlete's foot (tinea pedis), is often overlooked as a primary cause of lower limb cellulitis and recurrent episodes.
July 3, 2012: Nursing Times
Jan V Hirschmann, Gregory J Raugi
Several common conditions can mimic cellulitis, creating a potential for misdiagnosis and incorrect management. The most common disorders mistaken for lower limb cellulitis include venous eczema, lipodermatosclerosis, irritant dermatitis, and lymphedema. The dermatologist is often consulted when a patient has failed to respond to therapy, and a thorough knowledge of the differential diagnosis is essential. This article focuses on entities that can mimic cellulitis, with an emphasis of elements of the history and physical examination that can help to distinguish between lower limb cellulitis and its simulators...
August 2012: Journal of the American Academy of Dermatology
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