Erythema Indurative Hypostatic

Erythema Indurative Hypostatic: Understanding and Treatment

Erythema induratum hypostatica (EIH) is a rare chronic inflammatory skin disease that usually occurs on the lower extremities. It is characterized by the formation of painful nodes and areas of induration (thickening and compaction of tissue), accompanied by erythema (redness of the skin) and a clear connection with hypostatic phenomena (poor circulation in the lower extremities).

The reasons for the development of EIG are not fully understood, but hypostatic phenomena, such as venous insufficiency and microcirculatory disorders, play an important role in the pathogenesis of this disease. EIG often develops in middle-aged and elderly women, although cases in men also occur.

Clinical manifestations of EIH include the appearance of painful nodules and areas of induration, usually located on the back of the leg or calf. The skin becomes red and may be swollen and hot to the touch. Nodules can come in different sizes and shapes, and are often accompanied by a feeling of discomfort or pain. In some cases, ulcers and ulcerative defects may occur. Symptoms usually worsen with prolonged standing or physical activity.

To make a diagnosis of EIG, it is important to conduct a comprehensive examination. This includes a clinical examination, medical history, laboratory tests (such as blood tests and skin biopsies), and imaging tests (such as venous ultrasound). Differential diagnosis is made with other diseases such as venous thrombosis, cutaneous tuberculosis and sarcoidosis.

Treatment for EIG is aimed at addressing the underlying cause of the disease and reducing symptoms. If hypostatic symptoms are present, it is important to follow preventative measures such as regular exercise, maintaining a healthy lifestyle, losing weight and wearing compression garments. In some cases, drugs that improve microcirculation and venous tone may be used.

In addition, the use of topical medications, such as ointments and creams with anti-inflammatory and decongestant properties, may help relieve symptoms. In severe cases where conservative treatment is ineffective, systemic drug treatment using anti-inflammatory drugs, immunosuppressants or antibiotics may be required.

The prognosis of EIG depends on many factors, including the degree of circulatory impairment, the presence of complications, and the effectiveness of treatment. With timely and adequate treatment, most patients can achieve improvement and reduction in symptoms. However, in some cases, EIG may be chronic and require long-term treatment and monitoring.

In conclusion, erythema induratum hypostatica (EIH) is a rare chronic inflammatory skin disease associated with hypostatic phenomena. For successful treatment, it is important to make a timely diagnosis, determine the causes and apply appropriate treatment measures. Consultation with a dermatologist or phlebologist is an important step to effectively manage this condition.

Erythema indurative hypostatic

Erythema **indurative hypostatic** (*erythema** indurative**a **hypostatic**ica*; **IHS**)** is a disease from the group of non-scarring vasculitis**, characterized by the development of periapical hyperemic epithelioid infiltrates followed by the formation of indurative nodular infiltrative areas of the skin.