Pathology
Images
Atlas of dermatopathology
Josef Feit, Hana Jedličková, Günter Burg, Luděk Matyska, Spasoje Radovanovic et al.
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+ Introduction
+ Literature
+ Support
+ Skin biopsy
+ Non-tumorous skin diseases
+ Skin tumors
+ Cysts of the skin and subcutis
+ Soft tissue lesions
+ Some lesions of the oral cavity
+ Dermatovenerology
+ Collection of histological slides by prof. Günter Burg
+ Collection of histological slides by prof. Werner Kempf
+ Collection of histological slides of dr. Ram Chandra Adhikari
Chronic venous insufficiency
Clinical signs
  • 1st grade: edema, corona phlebectatica
  • 2nd grade: hyperpigmentations, dermatoliposclerosis, atrophie blanche, stasis dermatitis
  • 3rd grade: venous ulceration or scar after ulcerations
Pictures

Chronic venous insufficiency, stem and reticular varices, prominent hyperpigmentations (hemosiderin deposits): Stasis dermatitis: hyperpigmentation, varices, Clinical picture (692)

Further examples of varicose veins and forms of chronic venous insufficiency:

Further examples of leg ulcerations:

Histology

Superficial blood vessels have thickened walls, papillary corium contains groups of capillaries, sometimes spindle shaped endothelia are present as well; hemosiderin deposits and variable lymphocytic infiltrate. Superficial dermis is often fibrotic.

Epidermal changes are variable (atrophy, contact dermatitis etc.).

Sometimes irregular vascular proliferation can mimick Kaposi sarcoma (pseudo-Kaposi, acroangiodermatitis Mali).

Pictures

Stasis, acroangiodermatitis: Stasis, acroangiodermatitis, HE 40x (6070)

Acroangiodermatitis Mali: Acroangiodermatitis Mali, HE 20x (5077)

Acroangiodermatitis Mali, pseudokaposi: Pseudo-Kaposi's sarcoma, HE 20x (5247)

Stasis, leg: Venostasis, HE 60x (14213)