title: Stasis papillomatosis with cardiac complications and vein insufficiency.
abstract: We report the case of a 73-year-old man with massive swelling of the lower extremities, with a chronic and rather uncommon form of stasis dermatitis - stasis papillomatosis. The patient was also diagnosed with severe heart failure, including dilated cardiomyopathy, hypothyroidism that required a substantial dose of exogenous tyrosine, microcytic and megaloblastic anemia, iron deficiency, and type 2 diabetes. The cause of stasis dermatitis lesions is not completely understood. It may be caused by the allergic reaction to some epidermal protein antigen formation or chronic damage to the dermal-epidermal barrier that makes the skin more sensitive to irritants or trauma. It has, however, been suggested that the term stasis dermatitis should be used to refer only to cases caused by chronic venous insufficiency, which belongs to a group of lifestyle diseases and affects both women and men more and more frequently.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Zubilewicz
authors.forename: Wojciech
authors.initials: W
authors.lastname: Brzozowski
authors.forename: Grazyna
authors.initials: G
authors.lastname: Orlicz-Szczesna
authors.forename: Marek
authors.initials: M
authors.lastname: Ilzecki
authors.forename: Bartlomiej
authors.initials: B
authors.lastname: Wawrzycki
authors.forename: Monika
authors.initials: M
authors.lastname: Podhorecka
authors.forename: Ewa
authors.initials: E
authors.lastname: Dybiec
authors.forename: Witold
authors.initials: W
authors.lastname: Krupski
authors.affiliation: Aldona Pietrzak MD, PhD, Chair and Department of Dermatology, Venereology and Pediatric Dermatology , Medical University of Lublin . Lublin. Poland; aldonkapietrzak3@o2.pl.
authors.forename: Aldona
authors.initials: A
authors.lastname: Pietrzak
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D002908:Chronic Disease; D003872:Dermatitis / Q000150:complications / Q000473:pathology* / Q000628:therapy; D005500:Follow-Up Studies; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007037:Hypothyroidism / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D007150:Immunohistochemistry; D007868:Leg Dermatoses / Q000150:complications / Q000473:pathology / Q000628:therapy; D008297:Male; D010212:Papilloma / Q000150:complications / Q000473:pathology / Q000628:therapy; D014648:Varicose Veins / Q000150:complications / Q000473:pathology* / Q000628:therapy