title: [Skin problems in a swollen lower limb].
abstract: 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. Patients with stasis dermatitis have a higher risk for contact sensitization, which is important to remember when prescribing topical treatments.
authors.affiliation: HYKS, lho- ja allergiasairaala.
authors.forename: Kirsi
authors.initials: K
authors.lastname: Isoherranen
authors.forename: Sari
authors.initials: S
authors.lastname: Koskenmies
authors.forename: Hannele
authors.initials: H
authors.lastname: Heikkilä
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004485:Eczema / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007868:Leg Dermatoses / Q000175:diagnosis* / Q000628:therapy; D008209:Lymphedema / Q000175:diagnosis* / Q000628:therapy; D053828:Stockings, Compression; D016559:Tacrolimus / Q000627:therapeutic use; D014689:Venous Insufficiency / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D016559:Tacrolimus