Isoherranen Kirsi, Koskenmies Sari, Heikkilä Hannele
HYKS, lho- ja allergiasairaala.
Duodecim. 2013;129(17):1827-32.
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.
下肢肿胀对医生来说是一项诊断挑战。导致下肢肿胀的常见病症是慢性静脉功能不全和淋巴引流异常。淤积性皮炎和淋巴水肿是这些缺陷的表现。淤积性皮炎和淋巴水肿最重要的治疗方法是充分的加压治疗。为了使患者很好地配合加压治疗，患者教育很重要。皮肤湿疹的主要治疗方法是使用皮质类固醇和他克莫司软膏。淤积性皮炎患者发生接触致敏的风险较高，在开具局部治疗药物时需要牢记这一点。
