ANKLE

By Gary M. White, MD

Bullous

Insect Bites
Insect Bites. A clear-fluid bulla on the legs is typical.

Stasis Dermatitis
Stasis Dermatitis. At times, massive edema may lead to blisters and constant dripping of body fluids.

Bullous Erysipelas

Induration

Lipodermatosclerosis
Lipodermatosclerosis

Keratotic Papules

Seborrheic Keratosis
Seborrheic Keratosis

Nodule

Ganglion Cyst

Papules

Stucco Keratoses
Stucco Keratoses. White, dry, stuck-on papules--a variant of seborrheic keratoses.

picture here

Flea Bites

Lichen Planus
Lichen Planus

Pigmentation

Hemosiderin Deposition
Hemosiderin Deposition

Red and Scaly

Stasis Dermatitis
Stasis Dermatitis. Red, scaly, eczematous skin in the setting of edema. Of note, cellulitis is common on the lower legs of the older patient. But at times, stasis dermatitis is the true cause of a red rash. So if a "cellulitis" does not get better with appropriate antibiotics, consider stasis dermatitis.

Lichen Simplex Chronicus
Lichen Simplex Chronicus. Heavily lichenified and/or eczematous skin from itch and scratching.

Ulcer

Stasis Ulcer
Stasis Ulcer

Livedo Vasculopathy
Livedo Vasculopathy. (Atrophie Blanche also shown here.)

See also Ulcers, differential diagnosis.

Vascular

Ankle Flare
Ankle Flare. Dilated veins from chronic venous hypertension (from venous insufficiency).

Reactive Angiomatosis
Reactive Angiomatosis

White

Atrophie Blanche
Atrophie Blanche, here from livedo vasculopathy.

RegionalDerm

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