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Asteatotic eczema

Known as 'eczema craquelé,' presents as dry, cracked, 'crazy paving' skin, typically due to low humidity and excessive washing, not venous insufficiency.

Capillaritis

Presents as 'cayenne pepper' petechiae and purpuric macules, usually on the lower legs, without the edema or eczematous changes of stasis dermatitis.

Cellulitis

An acute bacterial infection presenting as a warm, tender, painful, and spreading area of erythema, often with fever, unlike the chronic, bilateral nature of stasis dermatitis.

Contact dermatitis

An eczematous reaction caused by an external agent (e.g., topical antibiotic), often with well-defined borders corresponding to the area of application.

Necrobiosis lipoidica

Characterized by atrophic, waxy, yellowish plaques with prominent telangiectasias, a distinct morphology from the eczematous changes of stasis dermatitis.

Psoriasis

Presents as well-demarcated, erythematous plaques with a silvery scale, which is not a feature of stasis dermatitis.

Vasculitis

Often presents as palpable purpura, and may lead to ulceration, but is an inflammatory process of blood vessels, not a result of venous hypertension.

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