Subacute eczematous inflammation in the lower extremity: A mixed picture of stasis dermatitis, granuloma annulare, and contact dermatitis

Abstract

Granuloma annulare and stasis dermatitis are two common cutaneous disorders encountered by primary care physicians. Stasis dermatitis is an inflammatory skin disorder and is often seen in patients with chronic venous insufficiency. Similarly, granuloma annulare is a benign inflammatory disorder of the skin that is typically self-limiting and seen in all age groups. These disorders can be mistaken for other diseases and exacerbated by certain medications, leading to irritant or allergic contact dermatitis. We present the case of a 52-year-old white male who presented to the clinic with bilateral lower extremity edema, erythematous papules, and brown discoloration. The typical clinical presentation of granuloma annulare, subacute eczematous stasis dermatitis, and contact dermatitis, as well as treatment options, will be reviewed in this case study.