Pigmentation, scaling, eczema on lower legs

Introduction Pigmentation, desquamation, and eczema in the lower leg are one of the symptoms of varicose veins in the lower extremities. The varicose veins of the lower extremities refer to the superficial veins of the lower extremities only. Because of the insufficiency of the valve and the weak vein wall, it affects the blood return, causing the vein to prolong, bend and expand. Most occur in the saphenous vein, a small number of small saphenous veins or a small saphenous vein.

Cause

Chinese medicine believes that often caused by anger and anger, depression, emotional fire, lungs, or liver dysentery, or long-term illness, lung disease, liver qi.

an examination

Related inspection

Physical examination skin test of Qu's test skin disease

Clinical manifestation

1. There are no obvious symptoms at the beginning, some patients often feel heavy limbs, pain, fatigue, and can be relieved after rest.

2. The superficial veins of the affected limbs gradually bulge and expand, and sometimes they can be curled into a mass or a sac, especially after standing, and disappear after raising the legs.

3. The elderly with the disease, the lower leg and the upper part of the calf have color, itch, and eczema. Some patients may have thrombophlebitis, local redness and lumps, tenderness. The varicose veins are easily damaged by bleeding, or the infection forms an ulcer.

Differential diagnosis

diagnosis

1. It can be diagnosed according to clinical manifestations.

2. Qu's test, Pratt test or Park's test, help to confirm the diagnosis of this disease.

3. Deep venography of the lower extremities is helpful for the diagnosis and treatment of this disease.

Differential diagnosis of pigmentation, desquamation, and eczema in the lower leg:

1, extensive erythema infiltration damage accompanied by desquamation: extensive erythema infiltration damage accompanied by desquamation, ie erythroderma. Peel dermatosis, also known as exfoliative dermatitis, is a serious systemic disease. It is generally believed that erythroderma and exfoliative dermatitis are the same disease. The former is characterized by extensive and obvious erythema infiltration damage accompanied by versiform desquamation, and then There is extensive edematous erythema with a lot of desquamation. Because the disease is not obvious, the name of the former is better and more versatile. A skin involvement area of 90% is a prerequisite for the diagnosis of this disease.

2, exfoliative dermatitis: a rare and serious skin disease. Also known as erythroderma. It is characterized by diffuse erythema, swelling and scaling of the whole body or large areas of the skin.

3, a large amount of skin desquamation: normal human skin is constantly undergoing daily metabolism, especially the surface layer is constantly updated, keratinized, some dead skin, it will produce skin desquamation, but this physiological phenomenon due to the small amount, Generally there will be no feeling. If there is a lot of skin desquamation in the skin, it should be considered as a manifestation of the disease.

4, pigmented skin lesions: skin color changes caused by the reduction or increase in pigmentation, known as pigmented skin disease. The disease with reduced pigmentation is caused by melanin deficiency, whitening of whole body or local skin, such as vitiligo; melanin diseases caused by hyperpigmentation or sputum cell growth, such as freckles or pigmented nevus.

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