A Case of Stasis Dermatitis Due to Excessive Weight Gain in a Patient with Peritoneal Dialysis.
- Author:
Mee Kyung KIM
1
;
Sun Ae YOON
;
Young Soo KIM
;
Sung Jin MOON
;
Hyun Jong OH
;
Sook Hee HONG
;
Kang Yoo LEE
;
Eun Deok CHANG
;
Young Ok KIM
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Stasis dermatitis;
Peritoneal dialysis;
Chronic renal failure;
Weight gain
- MeSH:
Biopsy;
Blood Vessels;
Dermatitis*;
Dermis;
Edema;
Fibrosis;
Heart Failure;
Hemosiderin;
Humans;
Kidney Failure, Chronic;
Leg;
Middle Aged;
Obesity;
Peritoneal Dialysis*;
Renal Dialysis;
Skin;
Ultrafiltration;
Varicose Veins;
Venous Thrombosis;
Weight Gain*
- From:Korean Journal of Nephrology
2003;22(4):469-473
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Stasis dermatitis is characterized by hyperpigmented lesions occuring as a result of venous stasis of the lower half of the legs. It is often associated with venous thrombosis, varicose vein, obesity, congestive heart failure. Histopathologic findings include fibrosis, new blood vessel formation, and hemosiderin deposition in dermis layer. We here report a case of stasis dermatitis due to excessive weight gain in a patient with peritoneal dialysis. A 50-year-old man on peritoneal dialysis was admitted with edema and hyperpigmentated lesion on both lower legs. He gained weight of 8 kg for 3 months because of excessive oral intake without ultrafiltration failure. Skin biopsy of the hyperpigmented lesion revealed vascular proliferation, infiltration of inflammatory cells, fibrosis, and hemosiderin deposition in dermis. We started hemodialysis in order to correct weight gain and leg edema. After 3 months later, the skin lesions much improved.
