Compression Therapy Using Bandages Successfully Manages Acute or Subacute Lipodermatosclerosis

Ann Vasc Dis. 2019 Mar 25;12(1):77-79. doi: 10.3400/avd.cr.18-00135.

Abstract

We report nine cases with acute or subacute lipodermatosclerosis treated successfully using multilayer bandages. All patients were women aged 52-90 years. Before presenting to our clinic, all patients had been treated for a tentative diagnosis of cellulitis caused by bacterial infection or inflammation of unknown cause for 3-19 weeks without improvement. Initially, we instructed all patients or their caregivers regarding the bandaging technique to achieve an interface pressure of >40 mmHg. Subsequently, this technique was continued by patients/caregivers. Symptoms subsided within 2-7 weeks in all patients except one who had been noncompliant with the compression therapy.

Keywords: acute lipodermatosclerosis; compression therapy.