Diagnosing lipodermatosclerosis

Lipodermatosclerosis is a progressive fibrotic process of the dermis and subcutaneous fat. It is associated with chronic venous insufficiency.¹

Lipodermatosclerosis is diagnosed based on the history and clinical examination.²

History taking

It is important to establish if there is any history of previous skin problems and relevant medical history, such as thrombosis, ulceration of the lower leg, lower leg injury, phlebitis or diabetes. Other causes of peripheral oedema, such as heart failure, nephrotic syndrome and liver disease, may be relevant. A family history of varicose veins may increase the risk of chronic venous insufficiency.³ The appearance of the patient's legs and symptoms may have a significant effect on quality of life.