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The award-winning director of The White Eagle Folk Dance Academy, Richard Schmidt continues his life-long passion of Polish Folklore through his daily work with hundreds of youth in both Toronto and Montreal, as well as his appearances as guest instructor at Folk Camps across the continent. The beautiful hand-made costumes of Poland and other cultures add to the magic of the performance. COPD and Other Stuff This is a patient-to-patient blog to exchange information and resources…from COPD to Arthritis to Cellulites to Sarcoidosis to Sleep Apnea to RLS to Psoriasis to Support Groups to Caregivers and all points in between. Stasis dermatitis (also called venous stasis dermatitis) is an inflammatory reaction seen in the skin of the lower leg caused by static (slow or delayed) venous flow of the leg.
The symptoms of stasis dermatitis vary with the general health of the patient, duration of the condition and status of treatment. If left untreated, stasis dermatitis will continue to the final stage where the skin ulcerates due to the back pressure caused by venous incompentency. Factors that can contribute to the early onset of stasis dermatitis include obesity, inactivity, venous injury, dependency (lower than the heart) of the leg and infection of the leg. Central to the treatment of venous stasis dermatitis and venous stasis ulcers is control of lower extremity edema due to venous hypertension. Eczematous changes (peeling and flaking) and lichenification (hardening of the epidermis) can be treated with skin softening agents.
All Natural Antifungal Healing Foot Cream soothes dry peeling skin and treats fungal infections of the foot with a therapeutic formula of tea tree oil and lavender oil.
Therafirm Compression Knee High Socks are light-weight, fashionable graduated compression stockings designed for both men and women. Natural Lavender Tea Tree Lotion soothes dry skin and treats fungal infections of the foot. Elephantiasis nostras: an eight-year observation of progressive nonfilarial elephantiasis of the lower extremity. Researches on elephantiasis nostras and elephantiasis tropica with special regard to their initial stage of recurring lymphangitis (lymphangitis recurrens elephantogenica).
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The primary contributing cause of stasis dermatitis is valvular incompentency of the veins of the leg resulting in chronic edema (swelling).
Edema can be controlled by elevating the legs above the level of the heart, use of diuretics and the use of compression hose. Inflammatory changes of the skin are common and can be treated with topical or oral steroids.
The area superficial to the origin of the great saphenous vein is the most common site of ulceration.
We recommend using Onox Foot Solution daily to control excessive foot perspiration and foot odor.
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Lichenification describes crusting and layering of the skin that occurs when the normal exfoliative properties of the skin are disrupted by chronic swelling. It's important to realize that when using compression hose, the hose need to be put on first thing in the morning in advance of any swelling. We recommend using Onox daily to control excessive perspiration, athlete's foot and foot odor. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Often edema starts at feet (ankle area) but may occur in the sacral area or face (eyelids).
Pigmentation changes (darkening) of the leg usually follows a prolonged period of swelling (edema) of the lower leg. In this stage of stasis dermatitis, oozing, scaling and deep pigmentation changes in the skin may become apparent. Discoloration or darkening of the skin is often due to the deposition of hemosiderin (the iron component of red blood cells).

Water retention has different causes and characteristics, starting from diseases with general impairment. Once hemosiderin is deposited in the skin, is is much like a tattoo that stains the skin from within. Venous stasis dermatitis, caused by chronic venous insufficiency, is characterized by pitting edema and hemosiderin-stained, tight skin in which minor trauma causes ulceration.
Pretibial myxedema, associated with Graves' disease, is caused by intradermal mucin accumulation. Blockage of lymph channels by filarial worms leads to edema most commonly affecting the legs and genital area. If filariasis is suspected on the basis of a travel history to an endemic tropical area, it can be diagnosed by serologic studies or by finding filarial worms in body fluids. Ichthyosis is a general term for a variety of genetic and acquired disorders that lead to development of thickened hyperkeratotic scales on the skin.
Unlike elephantiasis nostras, there is no history of recurrent infection or chronic edema leading to the formation of the hyperkeratotic skin changes.Lymphedema, regardless of etiology, is a predisposition for the development of elephantiasis nostras. In severe cases, pneumatic compression devices may be useful.6 Prolonged courses of antibiotics may be needed to clear deep-seated infections.
Topical keratolytics and oral retinoids have been used to treat hyperkeratotic plaques, but chronic use is sometimes required to maintain the results and is not risk free.7 Recalcitrant cases may benefit from surgical intervention such as lymphovenous anastomosis but ultimately may require amputation.
Early treatment of infection to eradicate bacteria and preserve the lymphatic drainage of dependent extremities is essential.
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