Clinical cases
ETIOPATHOGENIC, MORBIDITY AND MORTALITY CONSIDERATIONS IN A PATIENT WITH ECZEMATIZED STASIS DERMATITIS

Chronic venous insufficiency of the lower limbs is based upon an inadequate venous return and an increased intracapillary venous pressure, which are caused by deep thrombophlebitis, varicose veins or, more rarely, by congenital venous dysplasia. Its clinical expression is represented by the purpuric and pigmentary dermite ocre
Favre-Chaix, dermatofibrosclerosis and the chronic leg ulcer. Among the possible complications of the disease, the most common is the lesion's eczematization through an irritative or allergic process, or because of an endogenous cause, which may be accompanied or not by a disseminated secondary rash; the most redoubtable complication is deep vein thrombosis, which in turn can cause pulmonary thromboembolism, with a high mortality rate. Treatment of stasis dermatitis includes a wide range of medical and surgical options, but it is important to keep in mind that without the correction of the etiological agent – chronic venous insufficiency, curing the disease is not possible.

In this paper we present the case of an 82-year-old male patient, known to suffer from cardiovascular and renourinary
associated conditions, who was diagnosed 1 year prior to the current events with stasis dermatitis accompanied by chronic eczema. The patient requested to be admitted into our clinic following the recurrence of multiple pruritic erythemato-squamous patches and plaques located on the lower limbs, against a background of dermite ocre prone to lichenification, as well as numerous lesions of similar morphology distributed bilaterally on the elbows, knees and thighs, which had been evolving for about 9 months. The clinical and paraclinical examinations revealed the presence of a lung tumor, initially of uncertain origin - parasitic, thromboembolic or neoplastic.