Lipodermatoskleroosi

Lipodermatoskleroosi is a chronic inflammatory condition affecting the lower legs, primarily seen in individuals with venous insufficiency. It is characterized by a hardening and darkening of the skin in the affected area, often described as resembling an inverted champagne bottle. The condition is thought to result from long-term venous hypertension, which leads to inflammation, tissue damage, and fibrosis.

The early stages of lipodermatoskleroosi may present with aching, tenderness, and swelling in the ankles. As it progresses, the skin may become red or purplish, and a hardening or thickening of the subcutaneous fat and skin can be observed. Over time, the affected area can become indurated, pigmented, and may develop eczema-like changes. In more advanced cases, ulcers can form, which are often difficult to heal due to the compromised circulation and tissue changes.

Diagnosis is typically made through a physical examination, and other conditions such as cellulitis or deep vein thrombosis are usually ruled out. Ultrasound may be used to assess venous function. Treatment aims to reduce venous pressure, manage inflammation, and prevent further complications. This often involves compression therapy, wound care for any ulcers, and sometimes medication to reduce inflammation. Improving venous return is crucial for managing lipodermatoskleroosi and preventing its progression.