Refractory Stasis Dermatitis Due to Chronic Venous Insufficiency With Psychosocial Worsening in 2 Septuagenarian Patients Treated With Hyaluronic Acid-Succinic Acid Intradermotherapy.
Qiaofeng Zhao, Marjorie P Zambrano, Sofia Brito et al.
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Case in brief
Two septuagenarian patients with refractory stasis dermatitis due to chronic venous insufficiency were treated with intradermal high-molecular-weight non-crosslinked hyaluronic acid combined with succinic acid. The first patient, a 77-year-old man, showed significant clinical and psychosocial improvement after two treatment sessions. The second patient, a 75-year-old woman, experienced substantial improvement after the first session and near-complete resolution after the second, with sustained remission at six months.
Diagnostic / clinical pearl
Intravenous HMWNCHA combined with succinic acid may offer a novel treatment option for refractory stasis dermatitis, particularly in elderly patients with psychosocial challenges.